| Geriatric Physician Staffing Pc | |
|
124 W Fourth St Suttons Bay MI 49682-9733 | |
| (231) 271-1200 | |
| (231) 271-5959 |
| Full Name | Geriatric Physician Staffing Pc |
|---|---|
| Speciality | Skilled Nursing Facility |
| Location | 124 W Fourth St, Suttons Bay, Michigan |
| Authorized Official Name and Position | Phillip W Siemer (PHYSICIAN) |
| Authorized Official Contact | 2312715990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatric Physician Staffing Pc 2700 N Setterbo Rd Suttons Bay MI 49682-9391 Ph: (231) 271-5990 | Geriatric Physician Staffing Pc 124 W Fourth St Suttons Bay MI 49682-9733 Ph: (231) 271-1200 |
| NPI Number | 1558616144 |
|---|---|
| Provider Enumeration Date | 07/19/2012 |
| Last Update Date | 07/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558616144 | NPI | - | NPPES |
| 1588612972 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301051573 (Michigan) | Secondary |
| 314000000X | Skilled Nursing Facility | 4301051573 (Michigan) | Primary |
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