Dr. Michael J Mahon
Dermatologist
21141 Middlebelt Rd
Farmington Hills
, Michigan 48336-5516
Dr. Michael J Mahon
Dermatologist
21141 Middlebelt Rd
Farmington Hills
, Michigan 48336-5516
(248) 477-9370
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Dr. Michael J Mahon
- 21141 Middlebelt Rd
- Farmington Hills, MI
- Zip : 48336-5516
- Fax : (248) 477-9370
- Phone : (248) 477-7022
Second Address
- Dr. Michael J Mahon
- 21141 Middlebelt Rd
- Farmington Hills, MI
- Zip : 48336-5516
- Fax : (248) 477-9370
- Phone : (248) 477-7022
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 5101006141 | MI |
National Provider Identifier
| NPI | 1013904549 |
|---|---|
| Provider Name | Dr. Michael J Mahon |
| First Address | Farmington Hills, MI 48336-5516 |
| Second Address | Farmington Hills, MI 48336-5516 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/09/2005 |
| Last Update Date | 30/04/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0756303894 | BCBS (01) | MI |
| E37599 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.