| Fred Wurster Do Pc | |
|
1257 N Main St Lapeer MI 48446-1346 | |
| (810) 660-7902 | |
| (810) 660-7904 |
| Full Name | Fred Wurster Do Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1257 N Main St, Lapeer, Michigan |
| Authorized Official Name and Position | Fred Wurster (OWNER) |
| Authorized Official Contact | 8106607902 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fred Wurster Do Pc Po Box 1074 Lapeer MI 48446-5074 Ph: (810) 720-5715 | Fred Wurster Do Pc 1257 N Main St Lapeer MI 48446-1346 Ph: (810) 660-7902 |
| NPI Number | 1427372192 |
|---|---|
| Provider Enumeration Date | 03/24/2010 |
| Last Update Date | 05/30/2023 |
| Medicare PECOS PAC ID | 3577693811 |
|---|---|
| Medicare Enrollment ID | O20100611000584 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427372192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101009054 (Michigan) | Primary |
| Provider Name | Frederick R Wurster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821079666 PECOS PAC ID: 0244370906 Enrollment ID: I20091211000041 |
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