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Contact Information

MICHIGAN INTERNAL MEDICINE & PEDIATRICS, P.C.
9001 MILLER ROAD
SUITE 5
SWARTZ CREEK, MI48473
 Phone: 810-630-0404
 Fax: 810-630-2306
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MICHIGAN INTERNAL MEDICINE PEDIATRICS PC · (Female)

NPI # 1467502252
Status Active
Credentials
Entity Individual
Enumeration date 01/12/2007
Last updated 06/26/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # 4301072232
  • MI Medicaid 4971064
  • MI Other 1102513001 BCBSM
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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