| |
1794 N Lapeer Rd Suite D Lapeer MI 48446-7664 | |
(810) 245-1800 | |
(810) 969-4407 |
Full Name | |
---|---|
Speciality | Clinic/center |
Location | 1794 N Lapeer Rd, Lapeer, Michigan |
Authorized Official Name and Position | James Buterakos (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8102622160 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1125 S Linden Rd Suite 210 Flint MI 48532-4073 Ph: (810) 262-2160 | 1794 N Lapeer Rd Suite D Lapeer MI 48446-7664 Ph: (810) 245-1800 |
NPI Number | 1164795357 |
---|---|
Provider Enumeration Date | 02/17/2012 |
Last Update Date | 06/30/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164795357 | NPI | - | NPPES |
0M32030 | Other | MI | MEDICARE PTAN |
OB50731 | Other | MI | BCBSM URGENT CARE GROUP PIN |
OD40125 | Other | MI | BCBSM |
70-0-B5-1070-0 | Other | MI | BLUE CROSS BLUE SHIELD GROUP # |
OM32030 | Other | MI | MEDICARE GROUP # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
Hisham I Ahmed Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1457 Suncrest Dr, Lapeer, MI 48446 Phone: 810-348-7178 | |
Hamilton Community Health Network, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1570 Suncrest Dr, Lapeer, MI 48446 Phone: 810-667-0500 | |
Arja Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1739 N Saginaw St Ste 104a, Lapeer, MI 48446 Phone: 810-305-0061 Fax: 810-305-3319 | |
Jules Reinhardt D O Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1457 Suncrest Dr, Lapeer, MI 48446 Phone: 810-245-3629 Fax: 810-245-3640 |