| |
2500 7th Ave S Ste 201 Escanaba MI 49829-1176 | |
(906) 786-4628 | |
(906) 789-4410 |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 2500 7th Ave S, Escanaba, Michigan |
Authorized Official Name and Position | Jess Judy (PRESIDENT) |
Authorized Official Contact | 6153728500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
2500 7th Ave S Ste 201 Escanaba MI 49829-1176 Ph: (906) 786-4628 | 2500 7th Ave S Ste 201 Escanaba MI 49829-1176 Ph: (906) 786-4628 |
NPI Number | 1538415021 |
---|---|
Provider Enumeration Date | 08/02/2012 |
Last Update Date | 08/02/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538415021 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
Bright Star Enterprises, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4669 12th Rd, Escanaba, MI 49829 Phone: 906-786-9391 | |