Organization
GREENWOOD PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NASEER HUMAYUN M.D.38 (OWNER)
(517) 784-9104
Entity
Organization
Contact information
Practice address
720 W FRANKLIN ST, SUITE 1, JACKSON, MI 49201-1674
(517) 784-9104
(517) 784-9107
Mailing address
720 W FRANKLIN ST, SUITE 1, JACKSON, MI 49201-1674
(517) 784-9104
(517) 784-9107
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
NH033036
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102196
PREFERRED CHOICES
MI
01
—
1220021
PHP
MI
01
—
5192038
AETNA
MI
01
—
8503811891
BLUE CARE NETORK
MI
01
—
900039729
PRIORITY HEALTH
MI
Enumeration date
05/16/2008
Last updated
05/19/2008
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