| |
8401 Holly Rd Grand Blanc MI 48439-1812 | |
(810) 695-8011 | |
(810) 695-8002 |
Full Name | |
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Speciality | Internal Medicine |
Location | 8401 Holly Rd, Grand Blanc, Michigan |
Authorized Official Name and Position | Roland Tindle (CEO) |
Authorized Official Contact | 8106958011 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8401 Holly Rd Grand Blanc MI 48439-1812 Ph: (810) 695-8011 | 8401 Holly Rd Grand Blanc MI 48439-1812 Ph: (810) 695-8011 |
NPI Number | 1700962339 |
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Provider Enumeration Date | 10/27/2006 |
Last Update Date | 03/01/2012 |
Identifier | Type | State | Issuer |
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1700962339 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 5101006592 (Michigan) | Primary |
207R00000X | Internal Medicine | 4301048801 (Michigan) | Secondary |
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