Organization
WINSOR CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI A KHAN M.D. (PRESIDENT)
(989) 453-3585
Entity
Organization
Contact information
Practice address
168 N CASEVILLE RD, PIGEON, MI 48755-9704
(989) 453-3585
(989) 453-2026
Mailing address
168 N CASEVILLE RD, PIGEON, MI 48755-9704
(989) 453-3585
(989) 453-2026
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301053789
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0320062
BLUE SHIELD OF MI
MI
05
—
3121082
—
MI
Enumeration date
04/04/2007
Last updated
09/23/2016
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