Individual
DR. JARED MICHAEL MAHYLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 653-6568
Mailing address
1715 S NEWBERRY AVE, CHICAGO, IL 60608-2333
(307) 689-0644
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301504265
MI
Other
Enumeration date
03/24/2011
Last updated
07/02/2021
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