| John Street Clinic Pc | |
|
112 E John St Lake City MI 49651 | |
| (231) 839-4359 | |
| (231) 839-0223 |
| Full Name | John Street Clinic Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 112 E John St, Lake City, Michigan |
| Authorized Official Name and Position | Sotero M Ureta (OWNER) |
| Authorized Official Contact | 2318394359 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John Street Clinic Pc Po Box 213 Cadillac MI 49601-0213 Ph: (231) 775-6076 | John Street Clinic Pc 112 E John St Lake City MI 49651 Ph: (231) 839-4359 |
| NPI Number | 1033253133 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 08/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033253133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
Maple Ridge Living Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2575 W Houghton Lake Rd, Lake City, MI 49651 Phone: 231-839-1011 | |
The Renaissance Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 John Street, Lake City, MI 49601 Phone: 231-839-4359 Fax: 231-839-0223 | |
Lake City Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1866 S Morey Rd, Lake City, MI 49651 Phone: 231-908-8888 Fax: 833-989-2153 |