Organization
COMPLETE FAMILY HEALTH CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MADHU AJIT SUBNANI M.D. (PHYSICIAN)
(810) 724-0480
Entity
Organization
Contact information
Practice address
542 N CEDAR ST, IMLAY CITY, MI 48444-1166
(810) 724-0480
Mailing address
542 N CEDAR ST, IMLAY CITY, MI 48444-1166
(810) 724-0480
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0449241
BLUE CROSS BLUE SHIELD
MI
Enumeration date
03/04/2008
Last updated
03/04/2008
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