# SHIAWASSEE PEDIATRICS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336230788
- **Authorized official:** BARBARA J MUNSON MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (989) 729-4848

## Contact information

- **Practice address:** 802 W KING ST, SUITE C, OWOSSO, MI 48867-2100
- **Practice address phone:** (989) 729-4848
- **Practice address fax:** (989) 729-4849
- **Mailing address:** 802 W KING ST, SUITE C, OWOSSO, MI 48867-2100
- **Mailing address phone:** (989) 729-4848
- **Mailing address fax:** (989) 729-4849

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0000X | General Practice Registered Nurse | 4704113660 | MI | Yes |
| 208000000X | Pediatrics Physician | 4301029347 | MI | — |

## Other

- **Enumeration date:** 09/28/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0982812 | HEALTHPLUS | MI |
| 01 | — | 1012477 | MCLAREN HEALTH PLANS | MI |
| 01 | — | 1200321 | PHYSICIAN HEALTH PLAN | MI |
| 01 | — | 3507810231 | BCBS | MI |
| 05 | — | 4671219 | — | MI |
| 05 | — | 4924725 | — | MI |