Owosso Medical Group, Pc in Owosso - Multi-specialty

Owosso Medical Group, Pc - NPI 1023105418

Owosso Medical Group, Pc is a Multi-specialty in Owosso, Michigan. Owosso Medical Group, Pc practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Owosso Medical Group, Pc is 1023105418. The last update date is 2011-08-03.

Owosso Medical Group, Pc's current location address is 200 Health Park Drive, Owosso, Michigan. You can contact this provider via phone number 9897238666 and fax number 9897294983. The mailing address for Owosso Medical Group, Pc is 200 Health Park Drive, Owosso, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Owosso Medical Group, Pc
Address 200 Health Park Drive, Owosso, Michigan
Phone Number 9897238666
Fax Number 9897294983
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Allam A Azmy
Credentials MD
Telephone Number 9897238666

NPI Number Detail

NPI Number 1023105418
Provider Enumeration Date 2006-10-06
Last Updated Date 2011-08-03

Provider Mailing Address Detail

Address 200 Health Park Drive
City Owosso
State Michigan (MI)
Post Code 48867
Phone Number 9897238666
Fax Number 9897294983

Provider's Primary Taxonomy Detail

Speciality Multi-specialty
Taxonomy 261Qm1300X
Definition:
Provides integrated outpatient care across medical and surgical specialties with referrals under one roof.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
700G810130 MI BLUE CROSS

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FAQs about Owosso Medical Group, Pc

What is the Owosso Medical Group, Pc's 1023105418?

The Owosso Medical Group, Pc's NPI (National Provider Identifier) Number is 1023105418. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Owosso Medical Group, Pc's facilities are geographically located?

The facilities of Owosso Medical Group, Pc are physically situated at the following location: 200 Health Park Drive, Owosso, MI, 48867.

What is Owosso Medical Group, Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Owosso Medical Group, Pc is Multi-specialty, and the taxonomy code that classifies this field of practice is 261Qm1300X.

On what date did the Owosso Medical Group, Pc receive the assignment of its 1023105418 from the Centers for Medicare & Medicaid Services?

The Owosso Medical Group, Pc was issued its 1023105418 by the Centers for Medicare & Medicaid Services on 2006-10-06.

When was the information regarding Owosso Medical Group, Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Owosso Medical Group, Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-08-03.

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