# MASTER MEDICAL, PLLC

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

## Provider details

- **NPI number:** 1811601677
- **Authorized official:** SAMANTHA MIDDLETON (CREDENTIALING)
- **Authorized official phone:** (989) 321-8918

## Contact information

- **Practice address:** 22250 PROVIDENCE DR STE 301, SOUTHFIELD, MI 48075-6211
- **Practice address phone:** (248) 849-3281
- **Practice address fax:** (248) 849-5449
- **Mailing address:** PO BOX 3272, SAGINAW, MI 48605-3272

## Taxonomy

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

## Other

- **Enumeration date:** 01/06/2023
- **Last updated:** 01/16/2023