Provider Demographics
NPI:1225456544
Name:MID-MICHIGAN AMBULATORY PHYSICIANS PLC
Entity Type:Organization
Organization Name:MID-MICHIGAN AMBULATORY PHYSICIANS PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MIR
Authorized Official - Middle Name:M
Authorized Official - Last Name:ASGHAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-598-7460
Mailing Address - Street 1:1021 KARL GREIMEL DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-9465
Mailing Address - Country:US
Mailing Address - Phone:810-225-0086
Mailing Address - Fax:810-225-0286
Practice Address - Street 1:1255 E GRAND RIVER AVE
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843-1721
Practice Address - Country:US
Practice Address - Phone:175-457-4005
Practice Address - Fax:517-545-7477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-03
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty