Organization
CADILLAC FAMILY PHYSICIANS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANIA LEBARON MD (OWNER)
(231) 775-2493
Entity
Organization
Contact information
Practice address
8950 PROFESSIONAL DR, CADILLAC, MI 49601-8599
(231) 775-2493
(231) 779-7701
Mailing address
8950 PROFESSIONAL DR, CADILLAC, MI 49601-8599
(231) 775-2493
(231) 775-2570
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080H310370
BLUE CROSS BLUE SHIELD
MI
Enumeration date
01/11/2007
Last updated
03/05/2025
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