Healthcare Provider Details

I. General information

NPI: 1972442978
Provider Name (Legal Business Name): FLINT FRESH MOBILE MARKET
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3325 E COURT ST
FLINT MI
48506-4024
US

IV. Provider business mailing address

3325 E COURT ST
FLINT MI
48506-4024
US

V. Phone/Fax

Practice location:
  • Phone: 810-620-1902
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: BRIAN SCHORR
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 810-620-1902