Mighty Mason Outreach Ministry Church

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

MIGHTY MASON OUTREACH MINISTRY CHURCH

Practice address

1799 E Grand Blvd
Detroit, MI 48211-3145

Phone

(586) 222-1900

NPI assigned

Sep 16, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Muzaffer Al Zand

Title

Owner/President

Phone

(586) 222-1900

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1245563626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4722 JOHN R RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480853555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 E GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482113145",
            "telephone_number": "586-222-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGHTY MASON OUTREACH MINISTRY CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "AL ZAND",
        "authorized_official_first_name": "MUZAFFER",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "586-222-1900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew John Mielcuszny, DO
• Colleen Larose Miele, MD
• Anna Marie Mier, LMSW
• Stephen D Migdal, MD
• Janice Verlita Miggins, CPSS
• Vicki Migrin, PA-C
• Karen Mihelich, NP
• Miinfa Inc. (Smart Choice Pharmacy)
• Rachelle Mika, D.O.
• Yasmin Mikail

• Voluntary or Charitable Agency in Detroit, MI
• Providers in Detroit, MI by specialty
• Voluntary or Charitable Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.