| Country Doctor Family Practice Pc | |
|
720 N Lapeer Rd Ste 101 Lake Orion MI 48362-4011 | |
| (248) 693-4500 | |
| (248) 693-8170 |
| Full Name | Country Doctor Family Practice Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 720 N Lapeer Rd, Lake Orion, Michigan |
| Authorized Official Name and Position | Chrisitne Sypitkowski (OWNER) |
| Authorized Official Contact | 2486934500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Country Doctor Family Practice Pc 720 N Lapeer Rd Ste 101 Lake Orion MI 48362-4011 Ph: (248) 693-4500 | Country Doctor Family Practice Pc 720 N Lapeer Rd Ste 101 Lake Orion MI 48362-4011 Ph: (248) 693-4500 |
| NPI Number | 1619093283 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619093283 | NPI | - | NPPES |
| 0156300595 | Other | MI | BCBSM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101010326 (Michigan) | Primary |
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