Individual
DR. MICHAEL L MAWBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1115 S UNION ST, TRAVERSE CITY, MI 49684-3258
(231) 935-0550
(231) 935-0551
Mailing address
PO BOX 728, TRAVERSE CITY, MI 49685-0728
(231) 935-0550
(231) 935-0551
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
4301051186
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102802841
BC/BS OF MI
MI
01
—
131101
UNITED HEALTH CARE
MI
01
—
1720084114
MICHAEL L MAWBY MD
MI
05
—
4324974
—
MI
01
—
660003547
TRICARE/CHAMPUS
MI
01
—
F60038
PRIORITY
MI
Enumeration date
06/22/2005
Last updated
03/04/2014
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