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1477685790

NPI Code Detail

MEDICARE: DR. PATRICK H NOUD M.D.

MEDICARE: DR. PATRICK H NOUD M.D.

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
1	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	4301095240	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	0M21440070	OTHER	MI	MEDICARE ADVANTAGE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2003300222	OTHER	MI	BLUE CARE NETWORK
2	9606154	OTHER	MI	AETNA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	200000021958	OTHER	MI	PHP
6	1055973	OTHER	MI	MCLAREN HEALTH ADVANTAGE
7	2003300222	OTHER	MI	BLUE CROSS BLUE SHIELD
8	1055973	OTHER	MI	MCLAREN HEALTH PLAN-COMMERCIAL
9	200000021958	OTHER	MI	PHP FAMILYCARE

General Provider Information

NPI Number	:	1477685790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICK H NOUD M.D.

Provider Business Mailing Address
First Line	:	3404 PATIENT CARE DR
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48911-4217
Country	:	US
Telephone Number	:	517-267-0200
Fax Number	:	517-267-1877

Provider Business Practice Location Address
First Line	:	3404 PATIENT CARE DR
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48911-4217
Country	:	US
Telephone Number	:	517-267-0200
Fax Number	:	517-267-1877

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2007
Last Update Date	:	05/14/2026

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1386369452 — ALEXANDRA KATHERINE WHITMAN PA-C
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Directions to “ DR. PATRICK H NOUD M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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