Provider Demographics
NPI:1649250879
Name:ATKINSON, ALAN M (DO,)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:M
Last Name:ATKINSON
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Gender:M
Credentials:DO,
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Mailing Address - Street 1:1200 E MICHIGAN AVE
Mailing Address - Street 2:SUITE 415
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912-1800
Mailing Address - Country:US
Mailing Address - Phone:517-484-2760
Mailing Address - Fax:517-484-9370
Practice Address - Street 1:1200 E MICHIGAN AVE
Practice Address - Street 2:SUITE 415
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-1800
Practice Address - Country:US
Practice Address - Phone:517-484-2760
Practice Address - Fax:517-484-9370
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2012-12-18
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Provider Licenses
StateLicense IDTaxonomies
MI5101008833207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3312914Medicaid
MIE25463Medicare UPIN
MIOM41700005Medicare ID - Type Unspecified