| Dr Henderson Judy Md Family Medicine Pllc | |
|
24 N Saint Joseph Ave Suite C 2 Niles MI 49120-2263 | |
| (269) 683-0330 | |
| (269) 684-0400 |
| Full Name | Dr Henderson Judy Md Family Medicine Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 24 N Saint Joseph Ave, Niles, Michigan |
| Authorized Official Name and Position | Judy D. Henderson (OWNER) |
| Authorized Official Contact | 2696830330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Henderson Judy Md Family Medicine Pllc 24 N Saint Joseph Ave Suite C 2 Niles MI 49120-2263 Ph: (269) 683-0330 | Dr Henderson Judy Md Family Medicine Pllc 24 N Saint Joseph Ave Suite C 2 Niles MI 49120-2263 Ph: (269) 683-0330 |
| NPI Number | 1841737277 |
|---|---|
| Provider Enumeration Date | 01/24/2017 |
| Last Update Date | 01/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841737277 | NPI | - | NPPES |
| 1101111081 | Other | MI | BLUE CROSS BLUE SHIELD |
| 1700813227 | Medicaid | MI | |
| 0111108 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301088108 (Michigan) | Primary |
Integrated Home Physicians Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 423 Sycamore St Ste 103, Niles, MI 49120 Phone: 269-479-3030 Fax: 269-479-3032 | |
George E. Drake, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 S 5th St, Niles, MI 49120 Phone: 269-687-9607 | |
Douglas Tacket Do Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 N Saint Joseph Ave, Suite G, Niles, MI 49120 Phone: 269-684-5002 | |
Lakeland Ear Nose & Throat Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 42 N Saint Joseph Ave, Suite 300, Niles, MI 49120 Phone: 269-687-2910 Fax: 269-687-8770 | |
Lakeland General Surgery Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 42 N Saint Joseph Ave, Suite 100, Niles, MI 49120 Phone: 269-684-6696 Fax: 269-684-5286 | |
Lakeland Comprehensive Weight Loss Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 42 N Saint Joseph Ave, Suite 101, Niles, MI 49120 Phone: 269-687-4673 Fax: 269-687-1798 | |
Glenda M Gensolin Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 N Saint Joseph Ave Ste C2, Niles, MI 49120 Phone: 269-683-0330 Fax: 269-684-0400 |