Individual
DR. INGA SRIUBIENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3950 HOLLYWOOD RD STE 250, SAINT JOSEPH, MI 49085-9151
(269) 408-1115
(269) 408-1166
Mailing address
3950 HOLLYWOOD RD, STE 250, SAINT JOSEPH, MI 49085-9151
(269) 408-1115
(269) 408-1166
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301086073
MI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
4301086073
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110024
BCBS PIN
MI
05
—
1639373095
—
MI
Enumeration date
06/12/2007
Last updated
09/03/2019
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