NPI age
19 years
Enumerated 2007-05-25
Across 12343 active internal medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (MI) | 5186424 | |
| 01 (MI) | SJ089867 | MICHIGAN LICENSE |
| 05 (MI) | 1306057856 | |
| 01 (MI) | 700E012740 | BCBSM GROUP NUMBER |
Part of a multi-provider practice. 69 other active providers share this practice address in NPPES.
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