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Organization
MARIO DE MEIRELES MD MHSA PC
Active
Organization
MARIO DE MEIRELES MD MHSA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO DE MEIRELES MD (PRESIDENT)
(248) 302-7686
Entity
Organization
Contact information
Practice address
9260 FELLOWS CREEK DR, PLYMOUTH, MI 48170-6354
(734) 462-0340
(734) 462-0344
Mailing address
9260 FELLOWS CREEK DR, PLYMOUTH, MI 48170-6354
(734) 462-0340
(734) 462-0344
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301061758
MI
Other
Enumeration date
03/20/2008
Last updated
10/27/2020
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