Hartland Medicine Pllc | |
2750 Bella Vita Dr Hartland MI 48353-0139 | |
(810) 379-1080 | |
Not Available |
Full Name | Hartland Medicine Pllc |
---|---|
Speciality | Internal Medicine |
Location | 2750 Bella Vita Dr, Hartland, Michigan |
Authorized Official Name and Position | Michael A Cutting (OWNER) |
Authorized Official Contact | 4808886814 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Hartland Medicine Pllc 13277 Hyde Rd Hartland MI 48353-3209 Ph: (480) 888-6814 | Hartland Medicine Pllc 2750 Bella Vita Dr Hartland MI 48353-0139 Ph: (810) 379-1080 |
NPI Number | 1962118752 |
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Provider Enumeration Date | 01/25/2023 |
Last Update Date | 09/20/2023 |
Medicare PECOS PAC ID | 0143692640 |
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Medicare Enrollment ID | O20230209002163 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962118752 | NPI | - | NPPES |
VS0270901 | Medicaid | MI | |
4301108278 | Other | MI | MED LIC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Michael Cutting |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1154703999 PECOS PAC ID: 5092003988 Enrollment ID: I20180723001338 |
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