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MICHIGAN BONE AND MINERAL CLINIC P.C. NPI 1205820461


NPI Information

NPI: 1205820461
Provider Name: MICHIGAN BONE AND MINERAL CLINIC, P.C.
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

CLIA Number: 23D1090658

Address:
22201 MOROSS RD
SUITE 260
DETROIT, MI
ZIP 48236
Phone: (313) 640-7700
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MICHIGAN BONE AND MINERAL CLINIC, P.C. is a medical specialty clinic center in Detroit, MI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). MICHIGAN BONE AND MINERAL CLINIC, P.C. NPI is 1205820461. The provider is registered as an organization entity type.

The provider's business location address is:

22201 MOROSS RD
SUITE 260
DETROIT, MI
ZIP 48236-169
Phone: (313) 640-7700
Fax: (313) 640-1740

The provider's authorized official is Henry G. Bone .
The authorized official title is Owner and has the following contact phone number (313) 640-7700.

The CLIA number assigned to this NPI record is 23D1090658 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/2/2005 and was last updated on 12/23/2009.


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
1261QM2500XClinic/CenterMedical SpecialtyYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.