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Organization

MID-MICHIGAN PEDIATRICS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DARLENE M GILBERT M.D. (PRESIDENT)
(989) 921-5396
Entity
Organization

Contact information

Practice address
100 HARROW LN, SAGINAW, MI 48638-6095
(989) 921-5396
Mailing address
PO BOX 3272, SAGINAW, MI 48605-3272
(989) 797-1400
(989) 797-4077

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1008072
MCLAREN PROV #
MI
01
1062294
HEALTHPLUS PROV #
MI
01
15359
GREAT LAKES PROV #
MI
01
3507301902
BCBS PROV #
MI
01
C4761
MCARE PROV #
MI
Enumeration date
05/23/2007
Last updated
04/20/2008
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