Organization
MICHIGAN MEDICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLA B ATWOOD (OFFICE MANAGER)
(734) 453-5100
Entity
Organization
Contact information
Practice address
851 S MAIN ST STE B, PLYMOUTH, MI 48170-2086
(734) 453-5100
(734) 453-3538
Mailing address
851 S MAIN ST STE B, PLYMOUTH, MI 48170-2086
(734) 453-5100
(734) 453-3538
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15786063
1578608063
MI
01
—
1649242280
1649242280
—
Enumeration date
08/12/2006
Last updated
01/07/2019
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