Basic Information
| Provider Information | |||||||||
| NPI: | 1023357308 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | INTEGRATED HOSPITAL SPECIALISTS | ||||||||
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| Address1: | 4400 S SAGINAW ST | ||||||||
| Address2: | STE 1220 | ||||||||
| City: | FLINT | ||||||||
| State: | MI | ||||||||
| PostalCode: | 485072645 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8102759108 | ||||||||
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| Address1: | 4800 S SAGINAW ST | ||||||||
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| City: | FLINT | ||||||||
| State: | MI | ||||||||
| PostalCode: | 485072677 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8102759108 | ||||||||
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| ProviderEnumerationDate: | 02/07/2013 | ||||||||
| LastUpdateDate: | 02/07/2013 | ||||||||
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| AuthorizedOfficialLastName: | BLUST | ||||||||
| AuthorizedOfficialFirstName: | LINDSY | ||||||||
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| AuthorizedOfficialTitleorPosition: | CREDENTIALING SPECIALIST | ||||||||
| AuthorizedOfficialTelephone: | 8102759108 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207T00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Neurological Surgery |
No ID Information.