# LAKE MI MOBILE DOCTORS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mobile Doctors of Flint
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437492055
- **Authorized official:** MR. TYSYN CONTRERAS (DIRECTOR OF QUALITY ASSURANCE)
- **Authorized official phone:** (773) 751-7202

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 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