Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | DF064661 | MI |
NPI | 1174698831 |
---|---|
Provider Name | Debbie Jane Filek |
First Address | Bay City, MI 48708 |
Second Address | Bay City, MI 48708 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1007806 | MCLAREN HEALTH ADVANTAGE (01) | |
3379646 | (05) | MI |
3379646 | MOLINA (01) | |
3500919191 | BCBSM PIN# (01) | |
350Z91036 | BCBSM FEP (01) | |
350Z91036 | BCBSM GR# (01) | |
350Z96302 | HEALTH PLUS OF MICHIGAN & (01) | |
G04565 | BCN (01) | |
G07651 | (02) |