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Contact Information

MICHIGAN INDEPENDENT PHYSICIANS ASSOCIATION, PLC
12821 S SAGINAW ST
D13
GRAND BLANC, MI48439-2457
 Phone: 810-344-9213
 Fax: 810-953-2964
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Gerontology

363LG0600X 50 Nurse Practitioner
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MICHIGAN INDEPENDENT PHYSICIANS ASSOCIATION, PLC

NPI # 1912354986
LBN Legal business name MICHIGAN INDEPENDENT PHYSICIANS ASSOCIATION, PLC
Authorized official ROBERT BOUVIER - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/19/2016
Last updated 06/23/2016 - About 10 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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