| Arcadia Family Health Pllc | |
|
3901 Stonegate Park Ste F Saint Joseph MI 49085-9137 | |
| (810) 624-1586 | |
| Not Available |
| Full Name | Arcadia Family Health Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3901 Stonegate Park Ste F, Saint Joseph, Michigan |
| Authorized Official Name and Position | Ryan S Klanseck (OWNER) |
| Authorized Official Contact | 8106241586 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arcadia Family Health Pllc 3901 Stonegate Park Ste F Saint Joseph MI 49085-9137 Ph: (810) 624-1586 | Arcadia Family Health Pllc 3901 Stonegate Park Ste F Saint Joseph MI 49085-9137 Ph: (810) 624-1586 |
| NPI Number | 1265183248 |
|---|---|
| Provider Enumeration Date | 01/12/2022 |
| Last Update Date | 04/25/2022 |
| Medicare PECOS PAC ID | 6002209509 |
|---|---|
| Medicare Enrollment ID | O20220204001407 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265183248 | NPI | - | NPPES |
| 1811195712 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ryan S Klanseck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811195712 PECOS PAC ID: 0941493522 Enrollment ID: I20101015000667 |
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