NPI 1023988896

Modulemd

Organisation Allergy & Immunology Physician Grand Blanc, MI

Practice location

Address: 8359 Office Park Dr, Grand Blanc, MI 48439-2078
Phone: (877) 347-7978

Authorised official

Name: Nicole Pittman
Title: General Manager, Credentialing
Phone: (810) 214-0437

Registered specialties

Allergy & Immunology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207K00000X

Other Allergy & Immunology providers in Michigan →

Registry record

NPI: 1023988896
Entity type: Organization
NPI issued: 7 Nov 2025
Record last updated: 7 Nov 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.