CENTRAL MICHIGAN GROUP; NPI #1124540240

Contact Information

CENTRAL MICHIGAN GROUP

231 W LAKE LANSING RD STE 200
EAST LANSING, MI 48823-8451

Phone: 517-272-0886
Fax: 517-272-0887
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral and Maxillofacial Surgery	261QS0112X

Indicates primary specialty

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NPI Profile & details for CENTRAL MICHIGAN GROUP

NPI Number 1124540240

LBN Legal business name CENTRAL MICHIGAN GROUP

Authorized official JOESPH MAURO - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/11/2017

Last updated 07/21/2022 - About 4 years ago

Identifiers

MI	License #	JM012412
MI	Other	5330109	BLUE CROSS BLUE SHIELD OF MICHIGAN

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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