| Country Creek Family Medicine Pllc | |
|
4986 N Adams Rd Ste A Rochester MI 48306-5017 | |
| (248) 475-4301 | |
| (248) 475-4305 |
| Full Name | Country Creek Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 4986 N Adams Rd Ste A, Rochester, Michigan |
| Authorized Official Name and Position | Scott Bain (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2484754301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Country Creek Family Medicine Pllc 4986 N Adams Rd Ste A Rochester MI 48306-5017 Ph: (248) 475-4301 | Country Creek Family Medicine Pllc 4986 N Adams Rd Ste A Rochester MI 48306-5017 Ph: (248) 475-4301 |
| NPI Number | 1790537041 |
|---|---|
| Provider Enumeration Date | 04/02/2024 |
| Last Update Date | 04/02/2024 |
| Medicare PECOS PAC ID | 6800236548 |
|---|---|
| Medicare Enrollment ID | O20240429003315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790537041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael D Bain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528551488 PECOS PAC ID: 8123374113 Enrollment ID: I20210708000520 |
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