Mawby, Michael L

Mawby, Michael L is an individual health care provider with primary practice located at 1115 S Union St , Traverse City MI 49684-3258. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Mawby, Michael L can be contacted via phone (231) 935-0550.

Contact Information

Primary practice address
1115 S Union St Traverse City MI 49684-3258
Phone: (231) 935-0550
Fax: (231) 935-0551
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 4301051186 Michigan

Profile Details

NPI number 1720084114
LBN Legal business name Mawby, Michael L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Mar 4th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720084114 NPPES
Michigan Other 1102802841 BC/BS OF MI
Michigan Other 131101 BC/BS OF MI
Michigan Other 1720084114 BC/BS OF MI
Michigan Other 1102802841 BC/BS OF MI
Michigan MEDICAID 4324974 BC/BS OF MI
Michigan Other 660003547 BC/BS OF MI
Michigan Other F60038 BC/BS OF MI

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