Adulteldercarepc | |
1032 N Irish Rd Davison MI 48423-2209 | |
(810) 658-2131 | |
Not Available |
Full Name | Adulteldercarepc |
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Speciality | Clinic/Center |
Location | 1032 N Irish Rd, Davison, Michigan |
Authorized Official Name and Position | Edward Anton Christy (OWNER) |
Authorized Official Contact | 8106582131 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Adulteldercarepc 1032 N Irish Rd Davison MI 48423-2209 Ph: (810) 658-2131 | Adulteldercarepc 1032 N Irish Rd Davison MI 48423-2209 Ph: (810) 658-2131 |
NPI Number | 1568593093 |
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Provider Enumeration Date | 03/08/2007 |
Last Update Date | 09/11/2013 |
Medicare PECOS PAC ID | 6406959451 |
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Medicare Enrollment ID | O20070312000241 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568593093 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Edward Anton Christy |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750304945 PECOS PAC ID: 1658341797 Enrollment ID: I20040805001432 |
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