| Mid Michigan Internal Medicine PC | |
|
2311 S Cedar St Lansing MI 48910-3191 | |
| (517) 484-7900 | |
| (517) 484-1113 |
| Full Name | Mid Michigan Internal Medicine PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 2311 S Cedar St, Lansing, Michigan |
| Authorized Official Name and Position | Brian Mahany (PRESIDENT) |
| Authorized Official Contact | 5174847900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid Michigan Internal Medicine PC 2311 S Cedar St Lansing MI 48910-3191 Ph: (517) 484-7900 | Mid Michigan Internal Medicine PC 2311 S Cedar St Lansing MI 48910-3191 Ph: (517) 484-7900 |
| NPI Number | 1346388857 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 11/07/2008 |
| Medicare PECOS PAC ID | 1254239007 |
|---|---|
| Medicare Enrollment ID | O20031230000702 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346388857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ES049829 (Michigan) | Primary |
| Provider Name | Brian D Mahany |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821084153 PECOS PAC ID: 7416855267 Enrollment ID: I20040324001176 |
| Provider Name | Edward a Swisher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396731634 PECOS PAC ID: 4688572449 Enrollment ID: I20101119000240 |
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