Organization
FAMILY GASTROENTEROLOGY P L L C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IBRAHIM S SHAMIEH MD (OWNER/PHYSICIAN)
(989) 846-3500
Entity
Organization
Contact information
Practice address
805 W CEDAR ST, STANDISH, MI 48658-9526
(989) 846-3555
(989) 846-3462
Mailing address
PO BOX 125, STANDISH, MI 48658-0125
(989) 846-3500
(989) 846-3462
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301064684
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0067065
BLUE CARE NETWORK
MI
01
—
0988839
HEALTH PLUS OF MICHIGAN
MI
01
—
1629026463
INDIVIDUAL NPI
MI
01
—
3500670651
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
05
—
4255957
—
MI
Enumeration date
08/28/2012
Last updated
08/28/2012
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