Individual
DR. MIKHOLAE HUTCHINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-1517
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0116034300
VA
208600000X
Surgery Physician
Primary
5151014808
MI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/27/2020
Last updated
06/07/2021
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