Biocare Pllc 2 | |
3271 Racquet Club Dr Traverse City MI 49684-4708 | |
(231) 735-8006 | |
(231) 735-8023 |
Full Name | Biocare Pllc 2 |
---|---|
Speciality | Family Medicine |
Location | 3271 Racquet Club Dr, Traverse City, Michigan |
Authorized Official Name and Position | James Berg (PARTNER) |
Authorized Official Contact | 2317358006 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Biocare Pllc 2 3271 Racquet Club Dr Traverse City MI 49684-4708 Ph: (231) 735-8006 | Biocare Pllc 2 3271 Racquet Club Dr Traverse City MI 49684-4708 Ph: (231) 735-8006 |
NPI Number | 1982206579 |
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Provider Enumeration Date | 11/10/2020 |
Last Update Date | 11/10/2020 |
Medicare PECOS PAC ID | 2264844323 |
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Medicare Enrollment ID | O20201214001583 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982206579 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | James Dudo |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1629285051 PECOS PAC ID: 3678467131 Enrollment ID: I20090609000053 |
Provider Name | Douglas John Wigton |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1184600116 PECOS PAC ID: 7810079068 Enrollment ID: I20110223000813 |
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County Health Support Services Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Washington St, Traverse City, MI 49684 Phone: 231-922-4532 | |
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