| Fowlerville Family Practice Clinic | |
|
775 South Grand Avenue Fowlerville MI 48836 | |
| (517) 223-7800 | |
| (517) 223-7814 |
| Full Name | Fowlerville Family Practice Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 775 South Grand Avenue, Fowlerville, Michigan |
| Authorized Official Name and Position | Vikram Prasad (OWNER) |
| Authorized Official Contact | 5172237800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fowlerville Family Practice Clinic Po Box 768 Fowlerville MI 48836 Ph: (517) 223-7800 | Fowlerville Family Practice Clinic 775 South Grand Avenue Fowlerville MI 48836 Ph: (517) 223-7800 |
| NPI Number | 1023156270 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 06/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023156270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Fowlerville Medical Center, Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 202 E Van Riper Rd, Suite 100, Fowlerville, MI 48836 Phone: 517-223-7900 Fax: 517-223-7635 |