# MICHIANA REGIONAL SLEEP DISORDERS CENTER P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1841344702
- **Authorized official:** ROBERT L. PIASECKI DO (PRESIDENT)
- **Authorized official phone:** (269) 983-3690

## Contact information

- **Practice address:** 3902 STONEGATE PARK, SAINT JOSEPH, MI 49085-9130
- **Practice address phone:** (269) 983-3690
- **Practice address fax:** (269) 982-5101
- **Mailing address:** 3902 STONEGATE PARK, SAINT JOSEPH, MI 49085-9130
- **Mailing address phone:** (269) 983-3690
- **Mailing address fax:** (269) 982-5101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | 5101008659 | MI | Yes |
| 207YS0012X | Sleep Medicine (Otolaryngology) Physician | 4301070920 | MI | — |
| 2084S0012X | Sleep Medicine (Psychiatry & Neurology) Physician | 5101009750 | MI | — |

## Other

- **Enumeration date:** 01/22/2007
- **Last updated:** 04/23/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 700A110350 | BCBSM CPC | MI |