| Ban Mechael, MD PC | |
|
19930 Farmington Rd Suite A Livonia MI 48152-1433 | |
| (248) 476-6209 | |
| (248) 476-6237 |
| Full Name | Ban Mechael, MD PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 19930 Farmington Rd, Livonia, Michigan |
| Authorized Official Name and Position | Ban Mechael (OWNER) |
| Authorized Official Contact | 2484766209 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ban Mechael, MD PC 19930 Farmington Rd Suite A Livonia MI 48152-1433 Ph: (248) 476-6209 | Ban Mechael, MD PC 19930 Farmington Rd Suite A Livonia MI 48152-1433 Ph: (248) 476-6209 |
| NPI Number | 1033301569 |
|---|---|
| Provider Enumeration Date | 08/17/2007 |
| Last Update Date | 08/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033301569 | NPI | - | NPPES |
| 4409310 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301073200 (Michigan) | Primary |
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