Organization
LAKE MI MOBILE DOCTORS, P.C.
Active
Other names
Mobile Doctors of Detroit
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYSYN CONTRERAS (DIRECTOR, QUALITY ASSURANCE)
(312) 939-5090
Entity
Organization
Contact information
Practice address
24445 NORTHWESTERN HWY, SUITE #206, SOUTHFIELD, MI 48075-6501
(248) 799-0086
(248) 350-1178
Mailing address
3319 N ELSTON AVE, SUITE 200, CHICAGO, IL 60618-5811
(773) 751-7200
(773) 583-4401
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
11/20/2006
Last updated
10/29/2012
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