Great Lakes Digestive Health Assc Pc | |
560 W Mitchell St Ste M40 Petoskey MI 49770-2278 | |
(231) 487-2391 | |
(231) 487-6513 |
Full Name | Great Lakes Digestive Health Assc Pc |
---|---|
Speciality | Internal Medicine - Gastroenterology |
Location | 560 W Mitchell St, Petoskey, Michigan |
Authorized Official Name and Position | Pamela Stoner (ADMINISTRATOR) |
Authorized Official Contact | 2314872391 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Great Lakes Digestive Health Assc Pc 560 W Mitchell St Ste M40 Petoskey MI 49770-2278 Ph: (231) 487-2391 | Great Lakes Digestive Health Assc Pc 560 W Mitchell St Ste M40 Petoskey MI 49770-2278 Ph: (231) 487-2391 |
NPI Number | 1285822387 |
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Provider Enumeration Date | 10/15/2007 |
Last Update Date | 12/20/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285822387 | NPI | - | NPPES |
1285822387 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 4301091670 (Michigan) | Primary |
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