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Organization

SHIAWASSEE PEDIATRICS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BARBARA J MUNSON MD (OWNER/PHYSICIAN)
(989) 729-4848
Entity
Organization

Contact information

Practice address
802 W KING ST, SUITE C, OWOSSO, MI 48867-2100
(989) 729-4848
(989) 729-4849
Mailing address
802 W KING ST, SUITE C, OWOSSO, MI 48867-2100
(989) 729-4848
(989) 729-4849

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
4704113660
MI
208000000X
Pediatrics Physician
4301029347
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0982812
HEALTHPLUS
MI
01
1012477
MCLAREN HEALTH PLANS
MI
01
1200321
PHYSICIAN HEALTH PLAN
MI
01
3507810231
BCBS
MI
05
4671219
MI
05
4924725
MI
Enumeration date
09/28/2006
Last updated
09/11/2025
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