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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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