Individual
MR. MICHAEL INGRAM
Active
Individual
MR. MICHAEL INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301055552
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0984806
HEALTH PLUS
MI
01
—
26OZ910350
BCBS
MI
05
—
4318091
—
MI
01
—
72640119
AETNA
—
01
—
90114
BCBS
MI
01
—
N34080003
MEDICARE
MI
Enumeration date
07/07/2006
Last updated
04/12/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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