Organization Name: | DIGESTIVE DISEASE CENTER OF MID-MICHIGAN |
NPI Number: | 1356526602 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | URVISH KANTILAL SHAH (PRESIDENT) |
Mailing Address: | 3937 Patient Care Dr. Suite 106 Lansing |
State: | MI US |
Postal Code: | 489114287 |
Phone Number: | 5174852317 |
Fax Number: | 5174851490 |
NPI Enumeration Date: | 01/07/2008 |
NPI Last Update Date: | 01/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |