| East Michigan Family Care | |
|
4415 N Grand River Ave Lansing MI 48906-2614 | |
| (517) 323-3646 | |
| (517) 323-3648 |
| Full Name | East Michigan Family Care |
|---|---|
| Speciality | Family Medicine |
| Location | 4415 N Grand River Ave, Lansing, Michigan |
| Authorized Official Name and Position | Shannon G Wiggins (OWNER) |
| Authorized Official Contact | 5173233646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Michigan Family Care 2310 E Michigan Ave Lansing MI 48912-4018 Ph: (517) 346-7628 | East Michigan Family Care 4415 N Grand River Ave Lansing MI 48906-2614 Ph: (517) 323-3646 |
| NPI Number | 1124135116 |
|---|---|
| Provider Enumeration Date | 08/24/2006 |
| Last Update Date | 04/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124135116 | NPI | - | NPPES |
| 0853310215 | Other | MI | BCN |
| 5101013727 | Other | MI | DR WIGGINS LICENSE # |
| 4924592 | Medicaid | MI | |
| 0853310215 | Other | MI | BCBS |
| 1295744530 | Other | MI | DR WIGGINS NPI# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101013727 (Michigan) | Primary |
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