Organization
MOHAN DASS MACHA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAN DASS MACHA MD (PRESIDENT)
(989) 635-7131
Entity
Organization
Contact information
Practice address
6417 MARLETTE ST, MARLETTE, MI 48453-1305
(989) 635-7131
(989) 635-6303
Mailing address
6417 MARLETTE ST, MARLETTE, MI 48453-1305
(989) 635-7131
(989) 635-6303
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
4301071001
MI
208600000X
Surgery Physician
Primary
4301032660
MI
Other
Enumeration date
05/30/2008
Last updated
05/30/2008
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