Phs of Michigan PC

NPI #1265729883 in Jackson, Michigan

Provider Information

NPI Number: 1265729883
Entity Type: Organization
Organization Name: Phs of Michigan PC
Primary Specialty: Clinic/Center
Enumeration Date: Jul 3, 2011
Last Updated: Jul 3, 2011

Practice Location

Address: 1780 E PARNALL RD
Address 2: PARNALL CORRECTION FACILITY- MEDICAL CLINIC
City: Jackson
State: Michigan
ZIP Code: 49201-7136
Phone: (517) 780-6393

Authorized Official

Name: ERIN CODY, MD
Title: STATE MEDICAL DIRECTOR
Phone: (517) 827-3200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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