Organization
CENTER FOR OCCUPATIONAL & ENVIRONMENTAL MEDICINE P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL R HARBUT M.D. (OWNER)
(248) 547-9100
Entity
Organization
Contact information
Practice address
118 N WASHINGTON AVE, ROYAL OAK, MI 48067-1751
(248) 547-9100
(248) 547-9336
Mailing address
PO BOX 112, JENISON, MI 49429-0112
(616) 457-4919
(616) 457-5261
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
4301048645
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0632359
BCBS IND PIN
MI
01
—
0F36448
BCBSM GRP PIN
MI
Enumeration date
01/26/2007
Last updated
02/03/2010
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