Organization
MIDMICHIGAN PULMONARY, ASSOC.;P.C.
Active
Organization
MIDMICHIGAN PULMONARY, ASSOC.;P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY L SUMMER M.D. (PRESIDENT)
(989) 893-7460
Entity
Organization
Contact information
Practice address
640 S TRUMBULL ST, BAY CITY, MI 48708
(989) 893-7460
(989) 895-5813
Mailing address
640 S TRUMBULL ST, BAY CITY, MI 48708
(989) 893-7460
(989) 895-5813
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
4301063905
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1004181
COMMUNITY CHOICE MEDICAID
MI
01
—
2900901371
BLUE CARE NETWORK
MA
01
—
2900901371
BLUE CROSS BLUE SHIELD
MI
Enumeration date
07/01/2006
Last updated
08/22/2020
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