| Miles P Light Md Pc | |
|
3150 Hallmark Ct Ste #3 Saginaw MI 48603-2173 | |
| (989) 790-9460 | |
| (989) 790-9468 |
| Full Name | Miles P Light Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3150 Hallmark Ct, Saginaw, Michigan |
| Authorized Official Name and Position | Miles P Light (PHYSICIAN PRESIDENT) |
| Authorized Official Contact | 9897909460 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miles P Light Md Pc 3150 Hallmark Ct Ste #3 Saginaw MI 48603-2173 Ph: (989) 790-9460 | Miles P Light Md Pc 3150 Hallmark Ct Ste #3 Saginaw MI 48603-2173 Ph: (989) 790-9460 |
| NPI Number | 1750476792 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 11/30/2009 |
| Medicare PECOS PAC ID | 7012088909 |
|---|---|
| Medicare Enrollment ID | O20080620000116 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750476792 | NPI | - | NPPES |
| 51L00510 | Other | CIGNA | |
| 1107301291 | Other | BLUE CROSS BLUE SHIELD | |
| 3407348 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301066541 (Michigan) | Primary |
| Provider Name | Miles P Light |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851384457 PECOS PAC ID: 9931270824 Enrollment ID: I20080620000102 |
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