Organization
BAN MECHAEL, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAN MECHAEL M.D. (OWNER)
(248) 476-6209
Entity
Organization
Contact information
Practice address
19930 FARMINGTON RD, SUITE A, LIVONIA, MI 48152-1433
(248) 476-6209
(248) 476-6237
Mailing address
19930 FARMINGTON RD, SUITE A, LIVONIA, MI 48152-1433
(248) 476-6209
(248) 476-6237
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301073200
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4409310
—
MI
Enumeration date
08/17/2007
Last updated
08/17/2007
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