Individual
DR. MICHAEL L MAWBY
Active
Individual
DR. MICHAEL L MAWBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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