Organization
MICHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EWA MATUSZEWSKI (PRESIDENT)
(248) 475-4701
Entity
Organization
Contact information
Practice address
4986 N ADAMS RD, SUITE D, ROCHESTER, MI 48306-5017
(248) 475-4701
(248) 475-5777
Mailing address
4986 N ADAMS RD, SUITE D, ROCHESTER, MI 48306-5017
(248) 475-4701
(248) 475-5777
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
133V00000X
Registered Dietitian
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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