Organization
TROY GASTROENTEROLOGY, PC
Active
Organization
TROY GASTROENTEROLOGY, PC
Active
Other names
Michigan Gastroenterology Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MICHALEK (BILLING MANAGER)
(586) 726-8423
Entity
Organization
Contact information
Practice address
1650 RAMBLEWOOD DR STE 100, EAST LANSING, MI 48823-7396
(517) 332-1200
(517) 351-7122
Mailing address
1650 RAMBLEWOOD DR STE 100, EAST LANSING, MI 48823-7396
(517) 332-1200
(517) 351-7122
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500C311470
BCBSM
MI
01
—
OC31060
BCBSM
MI
Enumeration date
08/20/2006
Last updated
05/03/2022
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