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MR. MICHAEL INGRAM MD
Psychiatry >> Psychiatry & Neurology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1295767283
Individual Registrant:MR. MICHAEL INGRAM MD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
690 S TRUMBULL BAY CITY, MI 48708 US
Tel: 989-922-4900 Fax: 989-922-4900
Tel: 989-922-4900 Fax: 989-922-4900
Contact information for business:
690 S TRUMBULL BAY CITY, MI 48708 US
Tel: 989-922-4900 Fax: 989-922-4911
Tel: 989-922-4900 Fax: 989-922-4911
Registration Information:
NPI: 1295767283
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 2084P0800X | Allopathic & Osteopathic Physicians Psychiatry & Neurology Psychiatry | MI | 4301055552 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| HEALTH PLUS | 0984806 | MI | 01 |
| 4318091 | MI | 05 | |
| MEDICARE | N34080003 | MI | 01 |
| AETNA | 72640119 | 01 | |
| BCBS | 90114 | MI | 01 |
| BCBS | 26OZ910350 | MI | 01 |
