Organization
SUTTONS BAY MEDICAL CLINIC, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS G LAMMY MD (MEMBER)
(231) 271-5990
Entity
Organization
Contact information
Practice address
93B FOURTH ST, SUTTONS BAY, MI 49682-0397
(231) 271-5990
(231) 271-5959
Mailing address
93B FOURTH ST, PO BOX 397, SUTTONS BAY, MI 49682-0397
(231) 271-5990
(231) 271-5959
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0N19510
MEDICARE PART B
MI
05
—
1588612972
—
MI
05
—
1982653242
—
MI
01
—
700D510020
BLUE CARE NETWORK
MI
Enumeration date
08/16/2006
Last updated
06/24/2009
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