Individual
JAMES P LABERGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2352 HIDDENVIEW LN, WILLIAMSTON, MI 48895-9584
(517) 290-7749
Mailing address
2352 HIDDENVIEW LN, WILLIAMSTON, MI 48895-9584
(517) 290-7749
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101010011
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080177564
RR MCR
—
05
—
114456202
—
MI
01
—
5330086
BCBS
—
Enumeration date
09/27/2005
Last updated
10/23/2024
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