Individual
DR. MARY P SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1703 E MICHIGAN AVE, LANSING, MI 48912-2841
(517) 913-3860
(517) 484-6864
Mailing address
1703 E MICHIGAN AVE, LANSING, MI 48912-2841
(517) 913-3860
(517) 484-6864
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301044837
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0803310911
BCBS/BCN
MI
01
—
0M54770005
MEDICARE ADVANTAGE
MI
01
—
1009478
MCLAREN HEALTH PLAN-MEDICAID
MI
01
—
110245480
RAILROAD MEDICARE
MI
01
—
200000002706
PHP FAMILYCARE
MI
05
—
4437261
—
MI
01
—
4482115
AETNA
MI
Enumeration date
06/06/2006
Last updated
10/08/2009
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