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General NPI Number Information
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NPI Number | 1801905781
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Entity Type | Organization
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Legal Business Name | MID-MICHIGAN AMBULATORY PHYSICIANS PLC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 01/09/2024
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Provider Practice Location Address
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Address Line | 1255 E GRAND RIVER AVE
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City | HOWELL
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State | MI
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Zip | 48843-1721
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Country | US
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Telephone | 517-545-7400
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Fax | 517-545-7477
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Provider Business Mailing Address
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Address Line | PO BOX 2280
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City | BRIGHTON
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State | MI
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Zip | 48116-6080
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Country | US
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Telephone | 810-923-7496
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Fax | 313-429-7307
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MIR ASGHAR
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Credential | MD
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Telephone | 313-598-7460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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