| |
1675 Leahy St Suite 215a Muskegon MI 49442-5500 | |
(231) 728-1690 | |
(231) 728-1689 |
Full Name | |
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Speciality | Internal Medicine |
Location | 1675 Leahy St, Muskegon, Michigan |
Authorized Official Name and Position | Linda Ellison (MANAGER) |
Authorized Official Contact | 2317281678 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1675 Leahy St Suite 215a Muskegon MI 49442-5500 Ph: (231) 728-1690 | 1675 Leahy St Suite 215a Muskegon MI 49442-5500 Ph: (231) 728-1690 |
NPI Number | 1336184621 |
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Provider Enumeration Date | 06/19/2006 |
Last Update Date | 01/09/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336184621 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (Michigan) | Primary |
Hackley Community Care Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 E Laketon Ave Ste A, Muskegon, MI 49441 Phone: 231-737-1335 | |
Hpcn Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 986 W Norton Ave, Muskegon, MI 49441 Phone: 231-737-2194 Fax: 231-737-4524 | |