| Mk Certified, Llc | |
|
2140 Stone Rd Ann Arbor MI 48105-2535 | |
| (402) 618-9808 | |
| Not Available |
| Full Name | Mk Certified, Llc |
|---|---|
| Speciality | General Practice |
| Location | 2140 Stone Rd, Ann Arbor, Michigan |
| Authorized Official Name and Position | Mitchell Kohl (OWNER) |
| Authorized Official Contact | 4026189808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mk Certified, Llc 2140 Stone Rd Ann Arbor MI 48105-2535 Ph: (402) 618-9808 | Mk Certified, Llc 2140 Stone Rd Ann Arbor MI 48105-2535 Ph: (402) 618-9808 |
| NPI Number | 1336602812 |
|---|---|
| Provider Enumeration Date | 04/10/2019 |
| Last Update Date | 04/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336602812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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