Michigan Medical Mall
Michigan Medical Mall is a Family Medicine Physician in Detroit, Michigan. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
17350 Livernois AveDetroit, MI 48221-2759
Phone: (256) 262-9310
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1194133686 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Schara Davis — Owner/Incorporator · (256) 262-9310 |
| NPI enumerated | July 28, 2014 |
| Last updated in NPPES | July 28, 2014 |
| Mailing address | 17350 Livernois Ave, Detroit, MI 48221-2759 |
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