| Great Lakes Medical Pc | |
|
1111 S Mission St Mount Pleasant MI 48858-3944 | |
| (989) 773-9700 | |
| (989) 779-9701 |
| Full Name | Great Lakes Medical Pc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1111 S Mission St, Mount Pleasant, Michigan |
| Authorized Official Name and Position | Richard Wayne Macauley (OWNER) |
| Authorized Official Contact | 5174492452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Lakes Medical Pc 611 Court St Po Box 428 West Branch MI 48661-9390 Ph: (989) 773-9700 | Great Lakes Medical Pc 1111 S Mission St Mount Pleasant MI 48858-3944 Ph: (989) 773-9700 |
| NPI Number | 1942548946 |
|---|---|
| Provider Enumeration Date | 01/25/2013 |
| Last Update Date | 12/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942548946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 04411G (Michigan) | Primary |
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Mymichigan Medical Center Alma Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 W Broadway St, Suite A, Mount Pleasant, MI 48858 Phone: 989-772-9523 Fax: 989-772-9052 | |
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