| Brian T Doyle Md Plc | |
|
405 Momany Dr Saint Joseph MI 49085-2178 | |
| (269) 982-1947 | |
| (269) 982-1950 |
| Full Name | Brian T Doyle Md Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 405 Momany Dr, Saint Joseph, Michigan |
| Authorized Official Name and Position | Brian T Doyle (SOLE MEMBER) |
| Authorized Official Contact | 2483459864 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian T Doyle Md Plc 405 Momany Dr Saint Joseph MI 49085-2178 Ph: (269) 982-1947 | Brian T Doyle Md Plc 405 Momany Dr Saint Joseph MI 49085-2178 Ph: (269) 982-1947 |
| NPI Number | 1114403615 |
|---|---|
| Provider Enumeration Date | 07/17/2018 |
| Last Update Date | 02/02/2023 |
| Medicare PECOS PAC ID | 6709137250 |
|---|---|
| Medicare Enrollment ID | O20180921000637 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114403615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301110561 (Michigan) | Primary |
| Provider Name | Brian Thomas Doyle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750677316 PECOS PAC ID: 0648425173 Enrollment ID: I20160921001088 |
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