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NPI Code Detail

MEDICARE: MID-MICHIGAN GASTROENTEROLOGY CONSULTANTS PC

MEDICARE: MID-MICHIGAN GASTROENTEROLOGY CONSULTANTS PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology Physician010043MI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4100008017OTHERRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1200000004876OTHERMIPHP
21053808245OTHERMIBCBSM
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407980246
Entity Type Code : Organization
Provider Name (Legal Business Name) : MID-MICHIGAN GASTROENTEROLOGY CONSULTANTS PC
Provider Business Mailing Address
First Line : 2424 SPRING ARBOR RD
Second Line :
City : JACKSON
State : MI
Zip : 49203-2748
Country : US
Telephone Number : 517-783-3112
Fax Number : 517-783-6057
Provider Business Practice Location Address
First Line : 2424 SPRING ARBOR RD
Second Line :
City : JACKSON
State : MI
Zip : 49203-2748
Country : US
Telephone Number : 517-783-3112
Fax Number : 517-783-6057
Authorized Official
Title or Position : PRESIDENT
Name : DR. LYNN TIMOTHY SCHACHINGER
Credential : DO
Telephone Number : 517-783-3112
Provider Enumeration Date : 03/15/2007
Last Update Date : 03/10/2021

Similar Medicare Providers

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Practice Location Address:
2424 SPRING ARBOR RD
JACKSON, MI
49203-2748
Practice Phone: 517-787-0500
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1841296332 — DR. PAUL D HEILBORN MD
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Practice Location Address:
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JACKSON, MI
49203-2748
Practice Phone: 517-787-2226
Practice Fax:
1134204282 — SPRINGCREST FAMILY PHYSICIANS, P.C.
Practice Location Address:
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JACKSON, MI
49203-2748
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Practice Fax: 517-787-1555
1518042654 — MR. KEVIN K TAYLOR P.A.-C.
Practice Location Address:
2424 SPRING ARBOR RD
JACKSON, MI
49203-2748
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1851420947 — DR. LYNN TIMOTHY SCHACHINGER D.O.
Practice Location Address:
2424 SPRING ARBOR RD
JACKSON, MI
49203-2748
Practice Phone: 517-783-3112
Practice Fax: 517-783-6057

Directions to “MID-MICHIGAN GASTROENTEROLOGY CONSULTANTS PC ” Practice Location

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