Carol Y Wyse Do Plc | |
6012 Linden Rd Suite 14 Swartz Creek MI 48473-8890 | |
(810) 655-5900 | |
(810) 655-5915 |
Full Name | Carol Y Wyse Do Plc |
---|---|
Speciality | Family Medicine |
Location | 6012 Linden Rd, Swartz Creek, Michigan |
Authorized Official Name and Position | Carol Y Wyse (PRESIDENT) |
Authorized Official Contact | 8106555900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Carol Y Wyse Do Plc Po Box 320945 Flint MI 48532-0017 Ph: (810) 655-5900 | Carol Y Wyse Do Plc 6012 Linden Rd Suite 14 Swartz Creek MI 48473-8890 Ph: (810) 655-5900 |
NPI Number | 1467528315 |
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Provider Enumeration Date | 11/24/2006 |
Last Update Date | 11/03/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467528315 | NPI | - | NPPES |
5250325 | Other | BCBS | |
080139268 | Other | RR MEDICARE | |
4079297 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | CW007869 (Michigan) | Primary |
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