Organization
BEECHER MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANOHAR ATRI M.D. (PHYSICIAN)
(810) 230-7200
Entity
Organization
Contact information
Practice address
4855 BERL DR, SAGINAW, MI 48604-2801
(989) 799-8000
(989) 799-8797
Mailing address
1082 PROFESSIONAL DR, SUITE G1, FLINT, MI 48532-3635
(810) 230-7200
(810) 230-7202
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MA406605
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3127406
—
MI
01
—
4219281
AETNA
MI
01
—
BC
1107309722
MI
01
—
CIGNA
1078667
MI
01
—
GREAT
118391
MI
01
—
MCLAREN HEALTH PLAN
1001269
MI
01
—
PRIORITY HEALTH
31814
MI
Enumeration date
05/10/2007
Last updated
07/16/2007
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