Organization
LAKE MI MOBILE DOCTORS PC
Active
Other names
Mobile Doctors of Flint
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYSYN CONTRERAS (DIRECTOR OF QUALITY ASSURANCE)
(773) 751-7202
Entity
Organization
Contact information
Practice address
2335 S LINDEN RD, SUITE B, FLINT, MI 48532-5497
(810) 620-8363
(810) 620-8359
Mailing address
3319 N ELSTON AVE, SUITE 200, CHICAGO, IL 60618-5811
(773) 751-7200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
213E00000X
Podiatrist
—
—
Other
Enumeration date
04/02/2013
Last updated
04/19/2013
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