Derek Mimeles is a Specialist in Jackson, Michigan. Derek Mimeles practices all healthcare services and medical treatments related to Specialist. The NPI Number for Derek Mimeles is 1477597490. The last update date is 2023-09-06.
Derek Mimeles's current location address is 744 W Michigan Ave, Jackson, Michigan. You can contact this provider via phone number 5177876440 and fax number 5177876440. The mailing address for Derek Mimeles is 744 W Michigan Ave, Jackson, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Derek Mimeles |
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Address | 744 W Michigan Ave, Jackson, Michigan |
Phone Number | 5177876440 |
Fax Number | 5177876440 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1477597490 |
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Provider Enumeration Date | 2006-06-16 |
Last Updated Date | 2023-09-06 |
Provider Mailing Address Detail
Address | 744 W Michigan Ave |
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City | Jackson |
State | Michigan (MI) |
Post Code | 492011909 |
Phone Number | 5177876440 |
Fax Number | 5177876440 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | 10645R |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique 10-digit identification code assigned to Derek Mimeles by the Centers for Medicare & Medicaid Services?
The Derek Mimeles has been issued the NPI (National Provider Identifier) 1477597490, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Derek Mimeles is physically located?
The Derek Mimeles is physically situated at the following address: 744 W Michigan Ave, Jackson, MI, 492011909.
What is Derek Mimeles's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Derek Mimeles is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
When did Derek Mimeles receive its 1477597490 assignment?
The Derek Mimeles was assigned its 1477597490 on 2006-06-16, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Derek Mimeles most recently updated or revised?
The information pertaining to Derek Mimeles, including its address, specialty, and other relevant details, was last updated or revised on 2023-09-06.
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