| Clarkston Lakes Family Medicine Llc | |
|
6483 Citation Dr Suite B Clarkston MI 48346-2994 | |
| (248) 922-3074 | |
| (248) 922-3081 |
| Full Name | Clarkston Lakes Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6483 Citation Dr, Clarkston, Michigan |
| Authorized Official Name and Position | John A Blanchard (OWNER/PHYSICIAN) |
| Authorized Official Contact | 2489223074 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarkston Lakes Family Medicine Llc 6483 Citation Dr Suite B Clarkston MI 48346-2994 Ph: (248) 922-3074 | Clarkston Lakes Family Medicine Llc 6483 Citation Dr Suite B Clarkston MI 48346-2994 Ph: (248) 922-3074 |
| NPI Number | 1457359267 |
|---|---|
| Provider Enumeration Date | 07/14/2005 |
| Last Update Date | 02/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457359267 | NPI | - | NPPES |
| 080F320090 | Other | MI | BCN |
| 1457359267 | Medicaid | MI | |
| CK5028 | Other | MI | RAILROAD MEDICARE GROUP |
| 080F320090 | Other | MI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | JB067853 (Michigan) | Primary |
Iha Ooma Primary Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6770 Dixie Hwy Ste 303, Clarkston, MI 48346 Phone: 248-625-0030 Fax: 248-625-4403 | |
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Waldon Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5900 Waldon Rd, Ste C, Clarkston, MI 48346 Phone: 248-625-8730 Fax: 248-625-9830 | |
B. G. Patel, M.d. Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6770 Dixie Hwy, Ste 303, Clarkston, MI 48346 Phone: 248-625-0030 Fax: 248-625-4403 | |
Ala E. Imam, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6770 Dixie Hwy, Suite 301, Clarkston, MI 48346 Phone: 248-625-3000 Fax: 248-623-2278 | |
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