Candelaria Castaneda, Md, Pllc | |
729 Trescott St Harbor Beach MI 48441-1321 | |
(989) 479-3116 | |
(989) 479-3860 |
Full Name | Candelaria Castaneda, Md, Pllc |
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Speciality | Internal Medicine |
Location | 729 Trescott St, Harbor Beach, Michigan |
Authorized Official Name and Position | Candelaria J M Castaneda (MD) |
Authorized Official Contact | 9894793116 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Candelaria Castaneda, Md, Pllc 729 Trescott St P.o. Box 213 Harbor Beach MI 48441-1321 Ph: (989) 479-3116 | Candelaria Castaneda, Md, Pllc 729 Trescott St Harbor Beach MI 48441-1321 Ph: (989) 479-3116 |
NPI Number | 1659540953 |
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Provider Enumeration Date | 02/21/2008 |
Last Update Date | 02/28/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659540953 | NPI | - | NPPES |
P92434 | Other | MI | BLUE CARE NETWORK |
3464809 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301062431 (Michigan) | Primary |
Jaime F Tan Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2235 S Lakeshore Rd, Harbor Beach, MI 48441 Phone: 989-479-2143 | |
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