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Organization

BLISSFIELD INTERNAL MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DAWN HOWARD (INSURANCE BILLING)
(517) 486-2411
Entity
Organization

Contact information

Practice address
157 W BROOKE LN, BLISSFIELD, MI 49228-8601
(517) 486-2411
(517) 486-3967
Mailing address
157 W BROOKE LN, BLISSFIELD, MI 49228-8601
(517) 486-2411
(517) 486-3967

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
TM044007
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4711350
MI
05
4711360
MI
Enumeration date
12/20/2005
Last updated
08/22/2020
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