Organization Name: | MICHIGAN LUNG AND CRITICAL CARE SPECIALISTS, PC |
NPI Number: | 1013948686 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBRA RALSTON (PRACTICE MANAGER) |
Mailing Address: | 9450 S Saginaw Rd Suite E Grand Blanc |
State: | MI US |
Postal Code: | 484398206 |
Phone Number: | 8106954000 |
Fax Number: | 8106954055 |
NPI Enumeration Date: | 07/05/2006 |
NPI Last Update Date: | 04/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1200X |
License Number: | 5101008684 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Sleep Disorder Diagnostic |
Taxonomy Definition: |