Organization
MID-MICHIGAN SPECIALTY CLINICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAISAL MAWRI MD (SOLE MEMBER)
(810) 410-4869
Entity
Organization
Contact information
Practice address
8203 S SAGINAW ST STE B, GRAND BLANC, MI 48439-2434
(810) 410-4869
Mailing address
8203 S SAGINAW ST STE B, GRAND BLANC, MI 48439-2434
(810) 410-4869
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
2080S0010X
Pediatric Sports Medicine Physician
—
—
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
02/25/2025
Last updated
06/20/2025
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