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MANUEL DUMLAO MD PC NPI 1164482451


NPI Information

NPI: 1164482451
Provider Name: MANUEL DUMLAO MD PC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
2314 MONROE ST
DEARBORN, MI
ZIP 48124
Phone: (313) 562-6633
Get Directions

MANUEL DUMLAO MD PC is an adult mental health clinic center in Dearborn, MI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. MANUEL DUMLAO MD PC NPI is 1164482451. The provider is registered as an organization entity type.

The provider's business location address is:

2314 MONROE ST
DEARBORN, MI
ZIP 48124-045
Phone: (313) 562-6633
Fax: (313) 562-0880

The provider's authorized official is Manuel S Dumlao .
The authorized official title is President and has the following contact phone number (313) 562-6633.

The enumeration date for this NPI number is 3/23/2006 and was last updated on 1/26/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental Health4301047459MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12608218572OTHERMICHIGANBLUE CROSS BLUE SHIELD
2A76075MEDICARE UPINMICHIGAN
30821857MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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