Organization
MSN HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK STEPHEN NEUMANN D.O. (OWNER)
(734) 847-4700
Entity
Organization
Contact information
Practice address
1715 W DEAN RD STE B, TEMPERANCE, MI 48182-9406
(734) 847-4700
(734) 847-4711
Mailing address
1715 W DEAN RD STE B, TEMPERANCE, MI 48182-9406
(734) 847-4700
(734) 847-4711
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
5101013724
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0155810705
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/05/2008
Last updated
05/21/2008
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