| Geriatric And Medical Specialists Of Michigan P L C | |
|
2700 Robert T Longway Blvd Ste #a Flint MI 48503-2190 | |
| (810) 720-6700 | |
| (810) 743-1610 |
| Full Name | Geriatric And Medical Specialists Of Michigan P L C |
|---|---|
| Speciality | Internal Medicine |
| Location | 2700 Robert T Longway Blvd, Flint, Michigan |
| Authorized Official Name and Position | Randolph E. Schumacher (PRESIDENT) |
| Authorized Official Contact | 8102352599 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatric And Medical Specialists Of Michigan P L C 5155 Norko Drive Flint MI 48507-3021 Ph: (810) 720-6700 | Geriatric And Medical Specialists Of Michigan P L C 2700 Robert T Longway Blvd Ste #a Flint MI 48503-2190 Ph: (810) 720-6700 |
| NPI Number | 1255429007 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 05/07/2009 |
| Medicare PECOS PAC ID | 4789602889 |
|---|---|
| Medicare Enrollment ID | O20051108000070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255429007 | NPI | - | NPPES |
| Provider Name | Beth Schumacher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639276041 PECOS PAC ID: 7911925029 Enrollment ID: I20051108000118 |
| Provider Name | Randolph E Schumacher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912002999 PECOS PAC ID: 8123046232 Enrollment ID: I20070716000110 |
| Provider Name | Kristen M Light |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013435619 PECOS PAC ID: 0143579649 Enrollment ID: I20180816001316 |
| Provider Name | Stephanie Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396371134 PECOS PAC ID: 2264410901 Enrollment ID: I20200509000149 |
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