Provider Demographics
NPI: | 1922739762 |
---|---|
Name: | HOSPITALIST MEDICINE PHYSICIANS OF MICHIGAN - SAGINAW PLLC |
Entity Type: | Organization |
Organization Name: | HOSPITALIST MEDICINE PHYSICIANS OF MICHIGAN - SAGINAW PLLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | DIRECTOR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | MELISSA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | HARLAN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 615-577-6340 |
Mailing Address - Street 1: | 120 BRENTWOOD COMMONS WAY STE 510 |
Mailing Address - Street 2: | |
Mailing Address - City: | BRENTWOOD |
Mailing Address - State: | TN |
Mailing Address - Zip Code: | 37027-2028 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 615-577-6340 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1498 PACIFIC AVE STE 400 |
Practice Address - Street 2: | |
Practice Address - City: | TACOMA |
Practice Address - State: | WA |
Practice Address - Zip Code: | 98402-4208 |
Practice Address - Country: | US |
Practice Address - Phone: | 615-577-6340 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2022-06-22 |
Last Update Date: | 2022-06-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Multi-Specialty |