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Organization

MICHIANA SLEEP & PULMONARY ASSOCIATES P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT L PIASECKI DO (PRESIDENT)
(269) 982-5864
Entity
Organization

Contact information

Practice address
3904 STONEGATE PARK, SAINT JOSEPH, MI 49085-9130
(269) 982-5864
(269) 982-5113
Mailing address
3904 STONEGATE PARK, SAINT JOSEPH, MI 49085-9130
(269) 982-5864
(269) 982-5113

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
5101008659
MI
207RP1001X
Pulmonary Disease Physician
Primary
5101008659
MI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
5101008659
MI
363AM0700X
Medical Physician Assistant
5601004477
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
115110074
BCBSM
MI
Enumeration date
12/18/2006
Last updated
09/07/2011
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