Organization
MICHIGAN GASTROENTEROLOGY CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GHANEM ALMOUNAJED MD (PRESIDENT)
(810) 720-7600
Entity
Organization
Contact information
Practice address
5059 VILLA LINDE PKWY STE 28, FLINT, MI 48532-3438
(810) 720-7600
Mailing address
5059 VILLA LINDE PKWY STE 28, FLINT, MI 48532-3438
(810) 720-7600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
GA069125
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102504982
BCBSM
MI
Enumeration date
05/18/2007
Last updated
10/05/2007
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