| Midanco Company | |
|
4123 Okemos Rd Ste 14 Okemos MI 48864-2818 | |
| (517) 347-4645 | |
| (517) 347-4644 |
| Full Name | Midanco Company |
|---|---|
| Speciality | Social Worker |
| Location | 4123 Okemos Rd Ste 14, Okemos, Michigan |
| Authorized Official Name and Position | Karen Gallagher (OWNER) |
| Authorized Official Contact | 5173474645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midanco Company Po Box 10 Mason MI 48854-0010 Ph: (517) 676-9788 | Midanco Company 4123 Okemos Rd Ste 14 Okemos MI 48864-2818 Ph: (517) 347-4645 |
| NPI Number | 1477653061 |
|---|---|
| Provider Enumeration Date | 09/23/2006 |
| Last Update Date | 12/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477653061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 6801065439 (Michigan) | Primary |
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