| Gunnell Senior Care, Llc | |
|
3981 W 2 Mile Rd White Cloud MI 49349-9710 | |
| (231) 245-9390 | |
| Not Available |
| Full Name | Gunnell Senior Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3981 W 2 Mile Rd, White Cloud, Michigan |
| Authorized Official Name and Position | Robert Gunnell (OWNER) |
| Authorized Official Contact | 2312459390 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gunnell Senior Care, Llc 3981 W 2 Mile Rd White Cloud MI 49349-9710 Ph: () - | Gunnell Senior Care, Llc 3981 W 2 Mile Rd White Cloud MI 49349-9710 Ph: (231) 245-9390 |
| NPI Number | 1811612633 |
|---|---|
| Provider Enumeration Date | 10/04/2022 |
| Last Update Date | 11/18/2022 |
| Medicare PECOS PAC ID | 1557731254 |
|---|---|
| Medicare Enrollment ID | O20221221000370 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811612633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert V Gunnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225066079 PECOS PAC ID: 8123198488 Enrollment ID: I20080529000713 |
Child And Adolescent Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 555 E Wilcox Ave, White Cloud, MI 49349 Phone: 231-689-3268 Fax: 231-689-1030 |