Organization
MICHIGAN MOBILE MEDICINE, PLLC
Active
Other names
Michigan Mobile Medicine, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DIEGO A HERNANDEZ MD (MEDICAL DIRECTOR)
(248) 481-2100
Entity
Organization
Contact information
Practice address
43700 WOODWARD AVE STE 207, BLOOMFIELD HILLS, MI 48302-5061
(248) 481-2100
(248) 359-8750
Mailing address
43700 WOODWARD AVE STE 207, BLOOMFIELD HILLS, MI 48302-5061
(248) 481-2100
(248) 359-8750
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
—
—
Other
Enumeration date
09/28/2024
Last updated
09/28/2024
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