Delton Medical Center | |
11275 Sprague Rd Delton MI 49046-8493 | |
(269) 623-7121 | |
(269) 623-5527 |
Full Name | Delton Medical Center |
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Speciality | Family Medicine |
Location | 11275 Sprague Rd, Delton, Michigan |
Authorized Official Name and Position | Joseph C. Roth (OWNER) |
Authorized Official Contact | 2696237121 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Delton Medical Center 11275 Sprague Rd Delton MI 49046-8493 Ph: (269) 623-7121 | Delton Medical Center 11275 Sprague Rd Delton MI 49046-8493 Ph: (269) 623-7121 |
NPI Number | 1215048384 |
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Provider Enumeration Date | 08/31/2006 |
Last Update Date | 12/15/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215048384 | NPI | - | NPPES |
383530765 | Other | MI | TAX ID |
4639104 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5101008208 (Michigan) | Primary |