| Conant Medical Center Pllc | |
|
25529 Van Dyke Ave Suitea Center Line MI 48015-1848 | |
| (586) 806-5977 | |
| (586) 806-5985 |
| Full Name | Conant Medical Center Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 25529 Van Dyke Ave, Center Line, Michigan |
| Authorized Official Name and Position | Alexander Vertkin (OWNER) |
| Authorized Official Contact | 5868065977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Conant Medical Center Pllc 25529 Van Dyke Ave Suitea Center Line MI 48015-1848 Ph: (586) 806-5977 | Conant Medical Center Pllc 25529 Van Dyke Ave Suitea Center Line MI 48015-1848 Ph: (586) 806-5977 |
| NPI Number | 1326244450 |
|---|---|
| Provider Enumeration Date | 06/25/2007 |
| Last Update Date | 05/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326244450 | NPI | - | NPPES |
| 4425780 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301059824 (Michigan) | Primary |
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