| NPI | 1962220053 |
|---|---|
| Former Legal Business Name | MICHIGAN MOBILE MEDICINE, PLLC |
| Entity Type | Organization |
| Authorized Contact | DIEGO A HERNANDEZ Medical Director 248-481-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care |
| Enumeration Date | 2024-09-28 |
| Last Update Date | 2024-09-28 |