NPI 1124095666

Ban Mechael, MD

Practitioner General Practice Physician Livonia, MI

Practice location

Address: 19930 Farmington Rd Suite a, Livonia, MI 48152-1433
Phone: (248) 476-6209
Fax: (248) 476-6237
Mailing address: 19930 Farmington Rd Suite a, Livonia, MI 48152

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence BM073200 (MI)

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Registry record

NPI: 1124095666
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Mar 2006
Record last updated: 11 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.