| James F Shetlar Md Pc | |
|
163 F Church Grove Road Frankenmuth MI 48734-9322 | |
| (989) 652-9969 | |
| Not Available |
| Full Name | James F Shetlar Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 163 F Church Grove Road, Frankenmuth, Michigan |
| Authorized Official Name and Position | James F Shetlar (PRESIDENT) |
| Authorized Official Contact | 9896529969 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James F Shetlar Md Pc 163 F Church Grove Road Frankenmuth MI 48734-9322 Ph: (989) 652-9969 | James F Shetlar Md Pc 163 F Church Grove Road Frankenmuth MI 48734-9322 Ph: (989) 652-9969 |
| NPI Number | 1568511871 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 10/26/2007 |
| Medicare PECOS PAC ID | 7618054347 |
|---|---|
| Medicare Enrollment ID | O20080404000805 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568511871 | NPI | - | NPPES |
| LICENSEJS30247 | Other | MI | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | JS30247 (Michigan) | Primary |
| Provider Name | James F Shetlar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255519518 PECOS PAC ID: 1355428087 Enrollment ID: I20080404000802 |
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