Individual
JOE FLYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043-2920
(586) 493-8000
Mailing address
PO BOX 8836, GRAND RAPIDS, MI 49518-8836
(866) 898-7139
(616) 975-9824
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101009741
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111984416
—
MI
01
—
3355026475
BCBS
—
Enumeration date
12/08/2006
Last updated
05/16/2008
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