Flint Gastroenterology Associates Pc | |
600 Health Park Blvd Ste D Grand Blanc MI 48439-2558 | |
(810) 603-8400 | |
(810) 603-8410 |
Full Name | Flint Gastroenterology Associates Pc |
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Speciality | Internal Medicine |
Location | 600 Health Park Blvd, Grand Blanc, Michigan |
Authorized Official Name and Position | Richard Smith (PRESIDENT) |
Authorized Official Contact | 8106038400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Flint Gastroenterology Associates Pc 3495 S Center Rd Burton MI 48519-1455 Ph: (810) 424-2007 | Flint Gastroenterology Associates Pc 600 Health Park Blvd Ste D Grand Blanc MI 48439-2558 Ph: (810) 603-8400 |
NPI Number | 1982658456 |
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Provider Enumeration Date | 05/20/2006 |
Last Update Date | 01/05/2010 |
Medicare PECOS PAC ID | 3072589100 |
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Medicare Enrollment ID | O20040909000321 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982658456 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | John M Macksood |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1952387797 PECOS PAC ID: 3779559802 Enrollment ID: I20040910000206 |
Provider Name | Richard W Smith |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1750367504 PECOS PAC ID: 7113993247 Enrollment ID: I20040910000246 |
Provider Name | Michael J Neumann |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1578549325 PECOS PAC ID: 0143296277 Enrollment ID: I20040910000269 |
Provider Name | Derek N Korte |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1346226495 PECOS PAC ID: 0648219212 Enrollment ID: I20050503000578 |
Provider Name | Weimin Liu |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1750499638 PECOS PAC ID: 5799700423 Enrollment ID: I20051011000921 |
Provider Name | Justin R Miller |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1104879493 PECOS PAC ID: 9638181449 Enrollment ID: I20060619000050 |
Provider Name | Nathan J Landesman |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1457397143 PECOS PAC ID: 3779582481 Enrollment ID: I20061206000563 |
Provider Name | Mark J Minaudo |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1942239819 PECOS PAC ID: 0042475071 Enrollment ID: I20120626000152 |
Provider Name | Derek W Thigpin |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265691380 PECOS PAC ID: 6507081791 Enrollment ID: I20140701002372 |
Provider Name | Gwendolyn H Wright |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467832246 PECOS PAC ID: 7214241322 Enrollment ID: I20150803002720 |
Provider Name | Baraa Alosh |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1073932943 PECOS PAC ID: 3274830112 Enrollment ID: I20190516000553 |
Provider Name | Kaitlyn Renea Hill |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982204640 PECOS PAC ID: 5092127431 Enrollment ID: I20201209001400 |
Provider Name | Melissa Baker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598451197 PECOS PAC ID: 3375995665 Enrollment ID: I20240123001875 |
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