Organization
ADULT INTERNAL MEDICINE AND FAMILY CARE, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK CRIBB DO (OWNER)
(517) 541-1000
Entity
Organization
Contact information
Practice address
134 S COCHRAN AVE, CHARLOTTE, MI 48813-1557
(517) 541-1000
(517) 541-1754
Mailing address
PO BOX 367, CHARLOTTE, MI 48813-0367
(517) 485-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B30018
BCBSM
MI
Enumeration date
06/08/2009
Last updated
08/17/2009
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