Central Michigan Headache And Neurology Pc | |
1234 E Broomfield St Suite 2 Mount Pleasant MI 48858-4496 | |
(989) 779-5260 | |
(989) 779-5264 |
Full Name | Central Michigan Headache And Neurology Pc |
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Speciality | Psychiatry & Neurology |
Location | 1234 E Broomfield St, Mount Pleasant, Michigan |
Authorized Official Name and Position | Weiguo Zhao (PRESIDENT) |
Authorized Official Contact | 9897795260 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Central Michigan Headache And Neurology Pc 1234 E Broomfield St Suite 2 Mount Pleasant MI 48858-4496 Ph: (989) 779-5260 | Central Michigan Headache And Neurology Pc 1234 E Broomfield St Suite 2 Mount Pleasant MI 48858-4496 Ph: (989) 779-5260 |
NPI Number | 1487796371 |
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Provider Enumeration Date | 02/14/2007 |
Last Update Date | 03/30/2017 |
Medicare PECOS PAC ID | 2264607316 |
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Medicare Enrollment ID | O20111219000680 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487796371 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | Weiguo Zhao |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1649260134 PECOS PAC ID: 3173798220 Enrollment ID: I20111219000722 |
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