Great Lakes Family Care | |
520 Cobb St Cadillac MI 49601-2588 | |
(231) 775-6521 | |
(231) 876-6519 |
Full Name | Great Lakes Family Care |
---|---|
Speciality | Internal Medicine |
Location | 520 Cobb St, Cadillac, Michigan |
Authorized Official Name and Position | Michael Zdrodowski (ADMINISTRATOR) |
Authorized Official Contact | 2318766730 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Great Lakes Family Care 520 Cobb St Cadillac MI 49601-2588 Ph: (231) 775-6521 | Great Lakes Family Care 520 Cobb St Cadillac MI 49601-2588 Ph: (231) 775-6521 |
NPI Number | 1093891939 |
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Provider Enumeration Date | 10/31/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093891939 | NPI | - | NPPES |
690H31500 | Other | MI | PPO LAB |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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Great Lakes Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Cobb St, Cadillac, MI 49601 Phone: 231-876-6521 Fax: 231-876-6519 | |
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