Organization
NORTHERN MICHIGAN ENDOCRINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASHAR KIAMI,MD MD (OWNER)
(989) 745-6601
Entity
Organization
Contact information
Practice address
1200 WEST NORTH DOWN RIVER RD, SUITE B, GRAYLING, MI 49738
(989) 745-6601
(989) 745-6605
Mailing address
1200 WEST NORTH DOWN RIVER RD, SUITE B, GRAYLING, MI 49738
(989) 745-6601
(989) 745-6605
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
4301063746
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4174554
—
MI
Enumeration date
07/03/2014
Last updated
09/10/2014
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