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ST MARYS OF MICHIGAN SPECIALISTS NPI 1801940093


NPI Information

NPI: 1801940093
Provider Name: ST MARYS OF MICHIGAN SPECIALISTS
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
4690 MCLEOD DR E
SAGINAW, MI
ZIP 48604
Phone: (989) 249-5454
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ST MARYS OF MICHIGAN SPECIALISTS is a specialist in Saginaw, MI. The provider is 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. ST MARYS OF MICHIGAN SPECIALISTS NPI is 1801940093. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4690 MCLEOD DR E
SAGINAW, MI
ZIP 48604-836
Phone: (989) 249-5454
Fax: (989) 249-5468

The provider's authorized official is Michael L Long .
The authorized official title is Vice President and has the following contact phone number (989) 907-3095.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 12/23/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryNo
22086S0127XSurgeryTrauma SurgeryNo
3207ZP0102XPathologyAnatomic Pathology & Clinical Pathology4301073051MICHIGANNo
4207ZP0102XPathologyAnatomic Pathology & Clinical Pathology4301087160MICHIGANNo
52085R0204XRadiologyVascular & Interventional Radiology4301072478MICHIGANNo
6174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERTAX ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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