Individual
LEVI MICHAEL MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6900 E 10 MILE RD, CENTER LINE, MI 48015-1168
(517) 414-7300
Mailing address
2777 ROBINA AVE, BERKLEY, MI 48072-3811
(517) 414-7300
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MI
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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