| Complete Care Center, Pc | |
|
8401 Holly Rd Grand Blanc MI 48439-1812 | |
| (810) 695-8011 | |
| (810) 695-8002 |
| Full Name | Complete Care Center, Pc |
|---|---|
| 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 | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Care Center, Pc 8401 Holly Rd Grand Blanc MI 48439-1812 Ph: (810) 695-8011 | Complete Care Center, Pc 8401 Holly Rd Grand Blanc MI 48439-1812 Ph: (810) 695-8011 |
| NPI Number | 1700962339 |
|---|---|
| Provider Enumeration Date | 10/27/2006 |
| Last Update Date | 03/01/2012 |
| Medicare PECOS PAC ID | 4880588078 |
|---|---|
| Medicare Enrollment ID | O20040210000089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700962339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 5101006592 (Michigan) | Primary |
| 207R00000X | Internal Medicine | 4301048801 (Michigan) | Secondary |
| Provider Name | Roland R Tindle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053304105 PECOS PAC ID: 1759275944 Enrollment ID: I20120417000495 |
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