|
| |
|
68600 Red Arrow Hwy Hartford MI 49057-9718 | |
| (269) 637-9519 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | General Practice |
| Location | 68600 Red Arrow Hwy, Hartford, Michigan |
| Authorized Official Name and Position | Stuart Clark (EXECUTIVE VP) |
| Authorized Official Contact | 7037600700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5500 Maryland Way Ste 400 Brentwood TN 37027-4948 Ph: () - | 68600 Red Arrow Hwy Hartford MI 49057-9718 Ph: (269) 637-9519 |
| NPI Number | 1285903666 |
|---|---|
| Provider Enumeration Date | 12/14/2011 |
| Last Update Date | 07/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285903666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
Subhaschandra R Ravi Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 W Main St, Hartford, MI 49057 Phone: 269-621-2166 Fax: 269-621-2566 | |
Holy Family Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 E Main St, Hartford, MI 49057 Phone: 269-621-0011 Fax: 269-308-3336 |