Organization
MK CERTIFIED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL KOHL MD (OWNER)
(402) 618-9808
Entity
Organization
Contact information
Practice address
2140 STONE RD, ANN ARBOR, MI 48105-2535
(402) 618-9808
Mailing address
2140 STONE RD, ANN ARBOR, MI 48105-2535
(402) 618-9808
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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