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Organization

KIMBERLY A PUMMILL MD PC

Active
Other names
Grand Blanc Plastic Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KIMBERLY ANN PUMMILL MD (DOCTOR)
(810) 606-7888
Entity
Organization

Contact information

Practice address
3595 GENESYS PKWY, GRAND BLANC, MI 48439-7335
(810) 606-7888
Mailing address
3595 GENESYS PKWY, GRAND BLANC, MI 48439-7335
(810) 606-7888

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301070280
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0251130
BLUE CROSS
MI
01
0993473
HEALTH PLUS
MI
01
14465
MCARE
01
6U4349
HAP
01
7319368
AETNA
Enumeration date
10/29/2007
Last updated
11/27/2007
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