Provider Demographics
NPI:1023292133
Name:SIGURDS JANNERS MD PC
Entity type:Organization
Organization Name:SIGURDS JANNERS MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SIGURDS
Authorized Official - Middle Name:
Authorized Official - Last Name:JANNERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:906-482-6705
Mailing Address - Street 1:920 W WATER ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:HANCOCK
Mailing Address - State:MI
Mailing Address - Zip Code:49930-1949
Mailing Address - Country:US
Mailing Address - Phone:906-482-6705
Mailing Address - Fax:906-487-8053
Practice Address - Street 1:920 W WATER ST
Practice Address - Street 2:SUITE 2
Practice Address - City:HANCOCK
Practice Address - State:MI
Practice Address - Zip Code:49930-1949
Practice Address - Country:US
Practice Address - Phone:906-482-6705
Practice Address - Fax:906-487-8053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-26
Last Update Date:2007-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI030888207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1585458Medicaid
MI1585458Medicaid
MI0313036Medicare PIN