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Organization

RHEUMATOLOGY ASSOCIATES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT C. SHEPARD MD (OWNER PRACTITIONER)
(517) 349-7620
Entity
Organization

Contact information

Practice address
1841 NEWMAN ROAD, OKEMOS, MI 48864
(517) 349-7620
(517) 349-7086
Mailing address
1841 NEWMAN ROAD, OKEMOS, MI 48864
(517) 349-7620
(517) 349-7086

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
030866
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1103380401
BLUE CROSS BLUE SHIELD
MI
01
3200957
PHYSICIANS HEALTH PLAN
MI
Enumeration date
09/07/2006
Last updated
12/21/2007
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