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2500 7th Ave S Escanaba MI 49829-1176 | |
(906) 786-4628 | |
(906) 789-4410 |
Full Name | |
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Speciality | Family Medicine |
Location | 2500 7th Ave S, Escanaba, Michigan |
Authorized Official Name and Position | A. Gary Muller (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 9062254821 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4602 Dept Carol Stream IL 60122-0021 Ph: (906) 225-4533 | 2500 7th Ave S Escanaba MI 49829-1176 Ph: (906) 786-4628 |
NPI Number | 1184681256 |
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Provider Enumeration Date | 05/01/2006 |
Last Update Date | 04/23/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184681256 | NPI | - | NPPES |
CA7435 | Other | MI | RAILROAD MEDICARE |
RR1029 | Other | MI | RAILROAD |
0B11008 | Other | MI | BCBSM GROUP NUMBER |
C31351 | Other | MI | RAILROAD MEDICARE |
CA1145 | Other | MI | RAILROAD MEDICARE |
CI0319 | Other | MI | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363A00000X | Physician Assistant | (* (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 | |