Gladwin Family Care Pllc | |
673 E Cedar Ave Gladwin MI 48624-2215 | |
(989) 791-2455 | |
(989) 791-1392 |
Full Name | Gladwin Family Care Pllc |
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Speciality | Clinic/Center |
Location | 673 E Cedar Ave, Gladwin, Michigan |
Authorized Official Name and Position | Naveed Mahfooz (CEO) |
Authorized Official Contact | 9896722100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gladwin Family Care Pllc 673 E Cedar Ave Gladwin MI 48624-2215 Ph: (989) 791-2455 | Gladwin Family Care Pllc 673 E Cedar Ave Gladwin MI 48624-2215 Ph: (989) 791-2455 |
NPI Number | 1932788577 |
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Provider Enumeration Date | 04/02/2021 |
Last Update Date | 01/23/2024 |
Medicare PECOS PAC ID | 4385953587 |
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Medicare Enrollment ID | O20151028001813 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932788577 | NPI | - | NPPES |
MI9216 | Other | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Donna J Washington-keeling |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316969066 PECOS PAC ID: 9436107794 Enrollment ID: I20050104000669 |
Provider Name | Naveed Mahfooz |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780639450 PECOS PAC ID: 9830158609 Enrollment ID: I20050606000749 |
Provider Name | Jonathan W Hollis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205298262 PECOS PAC ID: 7719285378 Enrollment ID: I20160414000968 |
Provider Name | Julia Ginzburg |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205038445 PECOS PAC ID: 4688933252 Enrollment ID: I20180108000477 |
Provider Name | Rabeea Mirza |
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Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1679993216 PECOS PAC ID: 3577866649 Enrollment ID: I20190531000026 |
Provider Name | Alicia A Mclaren |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629602909 PECOS PAC ID: 5395165914 Enrollment ID: I20201021001195 |
Provider Name | Jeremy Spencer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174998371 PECOS PAC ID: 1153794839 Enrollment ID: I20230228000542 |
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