Individual
DR. MICHAEL J MAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
21141 MIDDLEBELT RD, FARMINGTON HILLS, MI 48336-5516
(248) 477-7022
(248) 477-9370
Mailing address
21141 MIDDLEBELT RD, FARMINGTON HILLS, MI 48336-5516
(248) 477-7022
(248) 477-9370
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
5101006141
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0756303894
BCBS
MI
Enumeration date
09/30/2005
Last updated
04/30/2008
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