| Internal Medicine Of Northern Michigan Pllc | |
|
560 W Mitchell St Suite 300 Petoskey MI 49770-2275 | |
| (231) 487-2460 | |
| (231) 487-6596 |
| Full Name | Internal Medicine Of Northern Michigan Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 560 W Mitchell St, Petoskey, Michigan |
| Authorized Official Name and Position | Robert E Farrell (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 2314872460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Of Northern Michigan Pllc 560 W Mitchell St Suite 300 Petoskey MI 49770-2275 Ph: (231) 487-2460 | Internal Medicine Of Northern Michigan Pllc 560 W Mitchell St Suite 300 Petoskey MI 49770-2275 Ph: (231) 487-2460 |
| NPI Number | 1467420901 |
|---|---|
| Provider Enumeration Date | 03/10/2006 |
| Last Update Date | 08/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467420901 | NPI | - | NPPES |
| 99111316 | Other | HIRSP | |
| CF8034 | Other | RR MEDICARE | |
| 619706 | Other | ANTHEM BCBS | |
| 110B410170 | Other | MICHIGAN BCBS | |
| 20146 | Other | PRIORITY HEALTH GROUP ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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