Kenneth A Jordan, MD | |
295 Maple St Ste 202, Tawas City, MI 48763-9352 | |
(989) 362-6108 | |
(989) 362-0161 |
Full Name | Kenneth A Jordan |
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Gender | Male |
Speciality | Internal Medicine |
Location | 295 Maple St Ste 202, Tawas City, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1235186438 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301040286 (Michigan) | Primary |
Entity Name | Ascension Borgess Lee Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194717504 PECOS PAC ID: 7719881002 Enrollment ID: O20031119000763 |
Entity Name | Family Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811065576 PECOS PAC ID: 1759370216 Enrollment ID: O20040510000899 |
Mailing Address | Practice Location Address |
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Kenneth A Jordan, MD 117 W Paterson St, Attn: Paula Jackson, Kalamazoo, MI 49007 Ph: (269) 349-2641 | Kenneth A Jordan, MD 295 Maple St Ste 202, Tawas City, MI 48763-9352 Ph: (989) 362-6108 |
Joseph J Vanderveen, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 312 W M 55, Tawas City, MI 48763 Phone: 989-362-9551 | |
Dr. Steven Dowdy, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 295 Maple St, Suite 203, Tawas City, MI 48763 Phone: 989-362-6108 Fax: 989-362-0161 | |
Robert L Donnell, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Hemlock St, Tawas City, MI 48763 Phone: 989-362-9433 Fax: 989-362-9454 | |
Dr. Jordan Quilico, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 295 Maple St Ste 202, Tawas City, MI 48763 Phone: 989-362-6108 Fax: 989-362-0161 |