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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, P.C.

NPI Number 1467502252
LBN Legal business name MICHIGAN INTERNAL MEDICINE & PEDIATRICS, P.C.
Authorized official PUNAM SHARMAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/12/2007
Last updated 06/26/2008 - About 18 years ago
Identifiers
MI License # 4301072232
MI Medicaid 4971064
MI Other 1102513001 BCBSM
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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