Organization
MID-MICHIGAN PHYSICIANS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND HANSEN MD (CEO)
(517) 913-7020
Entity
Organization
Contact information
Practice address
1540 LAKE LANSING RD, SUITE 203, LANSING, MI 48912-3756
(517) 913-3855
(517) 913-4020
Mailing address
2510 KERRY ST, SUITE 200, LANSING, MI 48912-3658
(517) 913-7020
(517) 913-7022
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/08/2011
Last updated
02/08/2011
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