Allen Surgical Care, Pllc | |
1009 44th St Sw Ste 101 Wyoming MI 49509-4480 | |
(616) 828-4622 | |
Not Available |
Full Name | Allen Surgical Care, Pllc |
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Speciality | Clinic/Center |
Location | 1009 44th St Sw Ste 101, Wyoming, Michigan |
Authorized Official Name and Position | Miranda Allen (OWNER) |
Authorized Official Contact | 2697196802 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Allen Surgical Care, Pllc 1009 44th St Sw Ste 101 Wyoming MI 49509-4480 Ph: () - | Allen Surgical Care, Pllc 1009 44th St Sw Ste 101 Wyoming MI 49509-4480 Ph: (616) 828-4622 |
NPI Number | 1275386948 |
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Provider Enumeration Date | 04/10/2024 |
Last Update Date | 07/03/2024 |
Medicare PECOS PAC ID | 9335687151 |
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Medicare Enrollment ID | O20240812002609 |
Identifier | Type | State | Issuer |
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1275386948 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Miranda Allen |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1154703577 PECOS PAC ID: 4688989585 Enrollment ID: I20240812002785 |
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