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Organization

SANFORD MEDICAL CENTER P C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HICHAM CHURBAJI MD (PRESIDENT)
(989) 687-7812
Entity
Organization

Contact information

Practice address
26 E SAGINAW RD, UNIT 4, SANFORD, MI 48657-9293
(989) 687-7812
(989) 687-7813
Mailing address
3061 CHRISTY WAY, SAGINAW, MI 48603-2267
(989) 791-2455
(989) 791-1392

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4618015
MI
05
4979886
MI
Enumeration date
08/20/2006
Last updated
04/22/2008
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