Organization
JAMES M SHIRILLA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HELEN E NICKLES (BILLING OFFICE MANAGER)
(989) 354-0845
Entity
Organization
Contact information
Practice address
405 N DIVISION RD, SUITE 3, PETOSKEY, MI 49770-9045
(231) 487-3980
(231) 439-0278
Mailing address
109 W FLETCHER ST, ALPENA, MI 49707-2301
(989) 354-0845
(989) 354-2965
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
JS036674
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102428731
BLUE SHIELD
MI
05
—
4177153
—
MI
Enumeration date
09/13/2006
Last updated
08/22/2020
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