Organization
EUGENIUS SBC ANG, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE HOLDRIDGE (BILLING SPECIALIST)
(517) 265-0229
Entity
Organization
Contact information
Practice address
200 E RUSSELL RD, STE B, TECUMSEH, MI 49286-2072
(517) 423-7481
(517) 423-1921
Mailing address
PO BOX 3705, ANN ARBOR, MI 48106-3705
(517) 423-7481
(517) 423-1921
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301032535
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104992888
—
MI
01
—
1104610942
BCBS OF MI
MI
Enumeration date
06/05/2008
Last updated
03/31/2009
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