Organization
INTERNAL MEDICINE ASSOCIATES OF FLINT P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEDEAN CHAMPINE (OPERATIONS MANAGER)
(810) 230-0120
Entity
Organization
Contact information
Practice address
G5607 W. BRISTOL RD., FLINT, MI 48507
(810) 230-0120
(810) 230-6733
Mailing address
3499 S LINDEN RD, FLINT, MI 48507-3022
(810) 230-0120
(810) 230-6733
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
EC023744
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110B56381
BCBS
MI
01
—
1710980586
NPI
MI
01
—
5173988
CIGNA
MI
01
—
CB7526
MEDICARE RAILROAD
MI
Enumeration date
05/24/2005
Last updated
07/25/2011
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