Organization
MID-MICHIGAN GASTROENTEROLOGY CONSULTANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNN TIMOTHY SCHACHINGER DO (PRESIDENT)
(517) 783-3112
Entity
Organization
Contact information
Practice address
2424 SPRING ARBOR RD, JACKSON, MI 49203-2748
(517) 783-3112
(517) 783-6057
Mailing address
2424 SPRING ARBOR RD, JACKSON, MI 49203-2748
(517) 783-3112
(517) 783-6057
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
010043
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100008017
RR MEDICARE
—
01
—
1053808245
BCBSM
MI
01
—
200000004876
PHP
MI
05
—
3216444
—
MI
Enumeration date
03/15/2007
Last updated
03/10/2021
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