| Evelyn Eccles, Md | |
|
122 W Main St Box 570 Manchester MI 48158-1002 | |
| (734) 428-8381 | |
| (734) 428-9066 |
| Full Name | Evelyn Eccles, Md |
|---|---|
| Speciality | Family Medicine |
| Location | 122 W Main St, Manchester, Michigan |
| Authorized Official Name and Position | Evelyn Eccles (OWNER) |
| Authorized Official Contact | 7344288381 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evelyn Eccles, Md 122 W Main St Box 570 Manchester MI 48158-1002 Ph: (734) 428-8381 | Evelyn Eccles, Md 122 W Main St Box 570 Manchester MI 48158-1002 Ph: (734) 428-8381 |
| NPI Number | 1679776264 |
|---|---|
| Provider Enumeration Date | 06/09/2007 |
| Last Update Date | 02/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679776264 | NPI | - | NPPES |
| 1568521458 | Other | MI | TAMAGNE PERSONAL NPI |
| 1366533689 | Other | MI | ECCLES PERSONAL NPI |
| 1802237 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301043902 (Michigan) | Primary |
Manchester Eye Care Center, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 Riverside Dr, Manchester, MI 48158 Phone: 734-428-2020 Fax: 734-428-8955 | |
Great Lakes Bay Health Centers Manchester Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4800 Esch Road, Manchester Migrant Camp, Manchester, MI 48158 Phone: 989-759-6464 Fax: 989-399-8233 |