| Araceli C Mesiona-brucal Md Pllc | |
|
8683 Red Arrow Hwy Watervliet MI 49098-9761 | |
| (269) 463-3375 | |
| (269) 463-3487 |
| Full Name | Araceli C Mesiona-brucal Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 8683 Red Arrow Hwy, Watervliet, Michigan |
| Authorized Official Name and Position | Araceli Mesiona-brucal (OWNER) |
| Authorized Official Contact | 2694633375 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Araceli C Mesiona-brucal Md Pllc 8683 Red Arrow Hwy Watervliet MI 49098-9761 Ph: (269) 463-3375 | Araceli C Mesiona-brucal Md Pllc 8683 Red Arrow Hwy Watervliet MI 49098-9761 Ph: (269) 463-3375 |
| NPI Number | 1821491283 |
|---|---|
| Provider Enumeration Date | 09/30/2014 |
| Last Update Date | 09/30/2014 |
| Medicare PECOS PAC ID | 0244553832 |
|---|---|
| Medicare Enrollment ID | O20150107000966 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821491283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301079223 (Michigan) | Primary |
| Provider Name | Araceli C Mesiona Brucal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578572517 PECOS PAC ID: 5991690331 Enrollment ID: I20040216001034 |
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