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Organization

PULMONARY CLINICS OF SOUTHERN MICHIGAN

Active
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Organization

PULMONARY CLINICS OF SOUTHERN MICHIGAN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ASHLEY PETERSON (OFFICE MANAGER)
(517) 782-3190
Entity
Organization

Contact information

Practice address
517 WILDWOOD AVE, JACKSON, MI 49201-1094
(517) 782-3190
(517) 782-1223
Mailing address
517 WILDWOOD AVE, JACKSON, MI 49201-1094
(517) 782-3190
(517) 782-1223

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
207RP1001X
Pulmonary Disease Physician
Primary
207RS0012X
Sleep Medicine (Internal Medicine) Physician

Other

Enumeration date
08/17/2006
Last updated
08/14/2026
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