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322 S. Lafayette Street, Suite D, Greenville, MI 48838 | |
(616) 225-9892 | |
(616) 225-8936 |
Full Name | |
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Type | Facility |
Speciality | Audiologist-hearing Aid Fitter |
Location | 322 S. Lafayette Street, Greenville, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881865947 | NPI | - | NPPES |
804675488 | Medicaid | MI | |
540D113710 | Other | MI | BCBS |
640D113770 | Other | MI | BCBS |
903471250 | Medicaid | MI | |
0D113770 | Other | MI | BCN |
5993641 | Other | MI | AETNA |
Provider Name | Peggy J Frank |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1477541589 PECOS PAC ID: 1456325976 Enrollment ID: I20040820001107 |
Mailing Address | Practice Location Address |
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322 S. Lafayette Street, Suite D, Greenville, MI 48838 Ph: (616) 225-9892 | 322 S. Lafayette Street, Suite D, Greenville, MI 48838 Ph: (616) 225-9892 |