Organization
ADVANCED ASTHMA ALLERGY & IMMUNOLOGY CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA STRINGHAM (CREDENTIALING MANAGER)
(269) 969-8920
Entity
Organization
Contact information
Practice address
4870 W CLARK RD, SUITE 202, YPSILANTI, MI 48197-1104
(734) 434-5430
(734) 434-5762
Mailing address
49 S CASS ST, BATTLE CREEK, MI 49037-2331
(269) 969-8920
(269) 969-8921
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
CC788218
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104929015
—
MI
Enumeration date
08/04/2008
Last updated
08/04/2008
Update your record
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