Organization
MICHIGAN HEALTHCARE PROFESSIONALS, P.C.
Active
Organization
MICHIGAN HEALTHCARE PROFESSIONALS, P.C.
Active
Other names
MDWell - Dearborn
Organization subpart
No
Provider details
NPI number
Authorized official
AUGHTUM HALSEY (CREDENTIALING COORDINATOR)
(248) 780-6615
Entity
Organization
Contact information
Practice address
1213 MASON ST, DEARBORN, MI 48124-2841
(313) 278-2800
(313) 278-0030
Mailing address
29992 NORTHWESTERN HWY STE C, FARMINGTON HILLS, MI 48334-3292
(248) 851-1430
(248) 851-5182
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
01/05/2024
Last updated
09/24/2024
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