| |
250 Nelson Rd Ste 2 Ludington MI 49431-1993 | |
(231) 845-0600 | |
(231) 845-6030 |
Full Name | |
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Speciality | Family Medicine |
Location | 250 Nelson Rd, Ludington, Michigan |
Authorized Official Name and Position | Douglas James Gentry (OWNER) |
Authorized Official Contact | 2318450600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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250 Nelson Rd Ste 2 Ludington MI 49431-1993 Ph: (231) 845-0600 | 250 Nelson Rd Ste 2 Ludington MI 49431-1993 Ph: (231) 845-0600 |
NPI Number | 1780801910 |
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Provider Enumeration Date | 04/19/2007 |
Last Update Date | 02/01/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780801910 | NPI | - | NPPES |
0531024 | Other | MI | BUE CROSS BLUE SHIELD |
4522344 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4301076105 (Michigan) | Primary |
Spectrum Health Primary Care Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 922 Lawndale St, Ludington, MI 49431 Phone: 231-845-7380 | |
New Life Medical Senior Care Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 S Wildwood Xing Apt 20, Ludington, MI 49431 Phone: 231-233-1704 | |