Organization
MCAULEY CLINIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROLLAND MAMBOURG M.D. (VICE PRESIDENT PHYSICIAN SERVICES)
(734) 712-7358
Entity
Organization
Contact information
Practice address
5333 MCAULEY DR, SUITE 4015, YPSILANTI, MI 48197-1014
(734) 712-5733
Mailing address
5333 MCAULEY DR, SUITE 4015, YPSILANTI, MI 48197-1014
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/30/2006
Last updated
08/22/2020
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