Michigan Gastroenterology Clinic, Pc in Flint - Specialist

Michigan Gastroenterology Clinic, Pc - NPI 1639387244

Michigan Gastroenterology Clinic, Pc is a Specialist in Flint, Michigan. Michigan Gastroenterology Clinic, Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Michigan Gastroenterology Clinic, Pc is 1639387244. The last update date is 2007-10-05.

Michigan Gastroenterology Clinic, Pc's current location address is 5059 Villa Linde Pkwy Ste 28, Flint, Michigan. You can contact this provider via phone number 8107207600. The mailing address for Michigan Gastroenterology Clinic, Pc is 5059 Villa Linde Pkwy Ste 28, Flint, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Michigan Gastroenterology Clinic, Pc
Address 5059 Villa Linde Pkwy Ste 28, Flint, Michigan
Phone Number 8107207600
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Almounajed Ghanem
Credentials MD
Telephone Number 8107207600

NPI Number Detail

NPI Number 1639387244
Provider Enumeration Date 2007-05-18
Last Updated Date 2007-10-05

Provider Mailing Address Detail

Address 5059 Villa Linde Pkwy Ste 28
City Flint
State Michigan (MI)
Post Code 485323438
Phone Number 8107207600
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No GA069125
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1102504982 MI BCBSM

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FAQs about Michigan Gastroenterology Clinic, Pc

What is the unique identifier code issued to Michigan Gastroenterology Clinic, Pc by the Centers for Medicare & Medicaid Services?

The Michigan Gastroenterology Clinic, Pc has been assigned the NPI (National Provider Identifier) 1639387244. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Michigan Gastroenterology Clinic, Pc?

The Michigan Gastroenterology Clinic, Pc is physically situated at 5059 Villa Linde Pkwy Ste 28, in the city of Flint, state of MI, with the postal code 485323438.

What is the Michigan Gastroenterology Clinic, Pc's area of specialization and corresponding taxonomy classification?

The Michigan Gastroenterology Clinic, Pc's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.

When did Michigan Gastroenterology Clinic, Pc receive its 1639387244 assignment?

The Michigan Gastroenterology Clinic, Pc was assigned its 1639387244 on 2007-05-18, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Michigan Gastroenterology Clinic, Pc most recently updated or revised?

The information pertaining to Michigan Gastroenterology Clinic, Pc, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-05.

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