# MARIO DE MEIRELES MD MHSA PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184895849
- **Authorized official:** DR. MARIO DE MEIRELES MD (PRESIDENT)
- **Authorized official phone:** (248) 302-7686

## Contact information

- **Practice address:** 9260 FELLOWS CREEK DR, PLYMOUTH, MI 48170-6354
- **Practice address phone:** (734) 462-0340
- **Practice address fax:** (734) 462-0344
- **Mailing address:** 9260 FELLOWS CREEK DR, PLYMOUTH, MI 48170-6354
- **Mailing address phone:** (734) 462-0340
- **Mailing address fax:** (734) 462-0344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301061758 | MI | Yes |

## Other

- **Enumeration date:** 03/20/2008
- **Last updated:** 10/27/2020