| Alfonso G Llanto Md Pc | |
|
3973 M 140 Watervliet MI 49098 | |
| (269) 463-5711 | |
| (269) 463-2885 |
| Full Name | Alfonso G Llanto Md Pc |
|---|---|
| Speciality | General Practice |
| Location | 3973 M 140, Watervliet, Michigan |
| Authorized Official Name and Position | Josephine A Llanto (OFFICE MANAGER) |
| Authorized Official Contact | 2694635711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alfonso G Llanto Md Pc Pob 127 Watervliet MI 49098 Ph: (269) 463-5711 | Alfonso G Llanto Md Pc 3973 M 140 Watervliet MI 49098 Ph: (269) 463-5711 |
| NPI Number | 1750484556 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 06/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750484556 | NPI | - | NPPES |
| 1101156072 | Other | BCBS | |
| 2093395 | Medicaid | MI | |
| P00061231 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | AL038737 (Michigan) | Primary |
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