Wansom Medical Center, P.C.

LBN: Wansom Medical Center, P.C.
Wansom Medical Center, P.C. is an health care organization with primary practice located at 1492 N Monroe St , Monroe MI 48162-4210. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Wansom Medical Center, P.C. can be contacted via phone (734) 242-3060, or through Wansom, Chate via phone (734) 242-3060.

Contact Information

Primary practice address
1492 N Monroe St Monroe MI 48162-4210
Phone: (734) 242-3060
Fax: (734) 242-3062
Website:
Map and Directions
Authorized official contact:
Name: Wansom, Chate Doctor of Medicine (MD)
Phone: (734) 242-3060

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4301038906 Michigan

Profile Details

NPI number 1902061799
LBN Legal business name Wansom Medical Center, P.C.
DBA Doing business as
Authorized official Wansom, Chate Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2008
Last updated Jul 22nd, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902061799 NPPES
Michigan MEDICAID 1395936
Michigan Other 0580012

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