Organization
MICHIGAN INTERNAL MEDICINE & PEDIATRICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PUNAM SHARMAN M.D. (OWNER)
(810) 630-0404
Entity
Organization
Contact information
Practice address
9001 MILLER ROAD, SUITE 5, SWARTZ CREEK, MI 48473
(810) 630-0404
(810) 630-2306
Mailing address
9001 MILLER ROAD, SUITE 5, SWARTZ CREEK, MI 48473
(810) 630-0404
(810) 630-2306
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301072232
MI
208000000X
Pediatrics Physician
4301072232
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102513001
BCBSM
MI
05
—
4971064
—
MI
Enumeration date
01/12/2007
Last updated
06/26/2008
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