Organization
MOBILE MEDICAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZENZILE JOHNSONMENDOZA D.O (DR OWNER)
(734) 752-4353
Entity
Organization
Contact information
Practice address
22601 ALLEN RD, SUITE 400, WOODHAVEN, MI 48183-2273
(734) 752-4353
Mailing address
22601 ALLEN RD, SUITE 400, WOODHAVEN, MI 48183-2273
(734) 752-4353
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101016237
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598891863
INDIVIDUAL NPI
MI
01
—
40919
AMERICAN BOARD OF EMERGENCY MEDICINE
MI
01
—
5101016237
MI LICENSE
MI
Enumeration date
05/11/2017
Last updated
05/11/2017
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