| Hartland Family Physicians Pc | |
|
11150 Highland Rd Hartland MI 48353-2702 | |
| (810) 632-6380 | |
| (810) 632-6601 |
| Full Name | Hartland Family Physicians Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 11150 Highland Rd, Hartland, Michigan |
| Authorized Official Name and Position | Mark Kopel (PRESIDENT) |
| Authorized Official Contact | 8106326380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hartland Family Physicians Pc 11150 Highland Rd Hartland MI 48353-2702 Ph: (810) 632-6380 | Hartland Family Physicians Pc 11150 Highland Rd Hartland MI 48353-2702 Ph: (810) 632-6380 |
| NPI Number | 1962548479 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6204937360 |
|---|---|
| Medicare Enrollment ID | O20070719000753 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962548479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MK008618 (Michigan) | Primary |
| Provider Name | Harvey Minkin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083667430 PECOS PAC ID: 9234197138 Enrollment ID: I20041223000118 |
| Provider Name | Mark Jeffrey Kopel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437264645 PECOS PAC ID: 9830290998 Enrollment ID: I20101011000985 |
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