Organization
EAST MICHIGAN FAMILY CARE PLC
Active
Other names
EAST MICHIGAN FAMILY CARE
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON G WIGGINS D.O. (OWNER)
(517) 323-3646
Entity
Organization
Contact information
Practice address
4415 N GRAND RIVER AVE, LANSING, MI 48906-2614
(517) 323-3646
(517) 323-3648
Mailing address
2310 E MICHIGAN AVE, LANSING, MI 48912-4018
(517) 346-7628
(517) 346-7629
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101013727
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0853310215
BCN
MI
01
—
1295744530
DR WIGGINS NPI#
MI
05
—
4924592
—
MI
01
—
5101013727
DR WIGGINS LICENSE #
MI
Enumeration date
08/24/2006
Last updated
04/09/2008
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