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Organization

LAKE MI MOBILE DOCTORS PC

Active
Find providers by NPI
Organization

LAKE MI MOBILE DOCTORS PC

Active
Other names
Mobile Doctors of Flint
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TYSYN CONTRERAS (DIRECTOR OF QUALITY ASSURANCE)
(773) 751-7202
Entity
Organization

Contact information

Practice address
2335 S LINDEN RD, SUITE B, FLINT, MI 48532-5497
(810) 620-8363
(810) 620-8359
Mailing address
3319 N ELSTON AVE, SUITE 200, CHICAGO, IL 60618-5811
(773) 751-7200

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
NULL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—

Other

Enumeration date
04/02/2013
Last updated
04/19/2013
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