| James M Shirilla MD PC | |
|
405 N Division Rd Suite 3 Petoskey MI 49770-9045 | |
| (231) 487-3980 | |
| (231) 439-0278 |
| Full Name | James M Shirilla MD PC |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 405 N Division Rd, Petoskey, Michigan |
| Authorized Official Name and Position | Helen E Nickles (BILLING OFFICE MANAGER) |
| Authorized Official Contact | 9893540845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James M Shirilla MD PC 109 W Fletcher St Alpena MI 49707-2301 Ph: (989) 354-0845 | James M Shirilla MD PC 405 N Division Rd Suite 3 Petoskey MI 49770-9045 Ph: (231) 487-3980 |
| NPI Number | 1629173026 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629173026 | NPI | - | NPPES |
| 1102428731 | Other | MI | BLUE SHIELD |
| 4177153 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | JS036674 (Michigan) | Primary |
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