Individual
MR. MICHAEL INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
690 S TRUMBULL, BAY CITY, MI 48708
(989) 922-4900
(989) 922-4900
Mailing address
690 S TRUMBULL, BAY CITY, MI 48708
(989) 922-4900
(989) 922-4911
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
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