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WOLVERINE SLEEP PLLC NPI 1174781918


NPI Information

NPI: 1174781918
Provider Name: WOLVERINE SLEEP PLLC
Classification: Clinic/Center - 261QS1200X
Entity Type: Organization

Specialization: Sleep Disorder Diagnostic

Address:
411 E RUSSELL RD
SUITE 1
TECUMSEH, MI
ZIP 49286
Phone: (517) 424-8286
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WOLVERINE SLEEP PLLC is a sleep disorder diagnostic clinic center in Tecumseh, MI. WOLVERINE SLEEP PLLC NPI is 1174781918. The provider is registered as an organization entity type.

The provider's business location address is:

411 E RUSSELL RD
SUITE 1
TECUMSEH, MI
ZIP 49286-502
Phone: (517) 424-8286
Fax: (517) 470-0296

The provider's authorized official is Thomas R Gorczyca .
The authorized official title is Owner and has the following contact phone number (517) 424-8286.

The enumeration date for this NPI number is 5/29/2008 and was last updated on 7/17/2009.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QS1200XClinic/CenterSleep Disorder DiagnosticYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1290D611710OTHERBCBS OF MICHIGAN
2MI1791MEDICARE PINMICHIGAN
3FTSP45MEDICARE OSCAR/CERTIFICATIONTEXAS
4FTSP45MEDICARE PINTEXAS
5MI1791MEDICARE OSCAR/CERTIFICATIONMICHIGAN

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: 5/5/2024
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