Individual
DR. ANDREW MENA MICHAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-5985
Mailing address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(248) 930-2470
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5151015468
MI
208D00000X
General Practice Physician
5101028101
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5151015468
LARA (LICENSING AND REGULATORY AFFAIRS)
MI
Enumeration date
04/27/2022
Last updated
06/19/2025
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