| Farwell Family Medicine Clinic Pc | |
|
10256 N Whiteville Rd Clare MI 48617-9319 | |
| (989) 386-7982 | |
| (989) 386-4232 |
| Full Name | Farwell Family Medicine Clinic Pc |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 10256 N Whiteville Rd, Clare, Michigan |
| Authorized Official Name and Position | Martin Douglas Jennings (PRESIDENT) |
| Authorized Official Contact | 9893867982 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Farwell Family Medicine Clinic Pc 10256 N Whiteville Rd Clare MI 48617-9319 Ph: (989) 386-7982 | Farwell Family Medicine Clinic Pc 10256 N Whiteville Rd Clare MI 48617-9319 Ph: (989) 386-7982 |
| NPI Number | 1386878031 |
|---|---|
| Provider Enumeration Date | 05/11/2009 |
| Last Update Date | 12/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386878031 | NPI | - | NPPES |
| 1417309 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | MJ007488 (Michigan) | Primary |
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