Elk Rapids Wellness Pllc | |
9060 N Bayshore Dr Ste B Elk Rapids MI 49629-9436 | |
(231) 498-4552 | |
Not Available |
Full Name | Elk Rapids Wellness Pllc |
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Speciality | Clinic/Center |
Location | 9060 N Bayshore Dr Ste B, Elk Rapids, Michigan |
Authorized Official Name and Position | Maureen Reynolds Street (PHYSICIAN) |
Authorized Official Contact | 2319449093 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Elk Rapids Wellness Pllc 9060 N Bayshore Dr Ste B Elk Rapids MI 49629-9436 Ph: (231) 498-4552 | Elk Rapids Wellness Pllc 9060 N Bayshore Dr Ste B Elk Rapids MI 49629-9436 Ph: (231) 498-4552 |
NPI Number | 1538894225 |
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Provider Enumeration Date | 07/18/2022 |
Last Update Date | 09/19/2022 |
Medicare PECOS PAC ID | 2365828811 |
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Medicare Enrollment ID | O20221006000815 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538894225 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Maureen Reynolds Street |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093716052 PECOS PAC ID: 1557327038 Enrollment ID: I20041207000122 |
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