Organization
TOWNSHIP OF WINDSOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR ST CLAIR (TOWNSHIP SUPERVISOR)
(517) 646-0772
Entity
Organization
Contact information
Practice address
405 W JEFFERSON ST, DIMONDALE, MI 48821-9551
(517) 646-0772
Mailing address
1701 LAKE LANSING RD, SUITE 100, LANSING, MI 48912-3798
(517) 485-0001
(517) 485-1138
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
231008
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1873220
—
MI
01
—
200000003603
PHPMM
MI
01
—
590B30015
BLUE CROSS BLUE SHIELD
MI
Enumeration date
06/13/2006
Last updated
12/27/2007
Update your record
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