| Kenneth Md Plc | |
|
4100 River Rd East China MI 48054-2909 | |
| (810) 329-7111 | |
| Not Available |
| Full Name | Kenneth Md Plc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4100 River Rd, East China, Michigan |
| Authorized Official Name and Position | Lynn Justusson (VP) |
| Authorized Official Contact | 2487430396 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Md Plc 6383 Glyndebourne Dr Troy MI 48098-2214 Ph: (586) 960-5358 | Kenneth Md Plc 4100 River Rd East China MI 48054-2909 Ph: (810) 329-7111 |
| NPI Number | 1831603596 |
|---|---|
| Provider Enumeration Date | 11/16/2017 |
| Last Update Date | 12/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831603596 | NPI | - | NPPES |
| 4301100071 | Other | MI | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301100071 (Michigan) | Primary |
St. John River District Physician Practices Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4100 S River Rd, East China, MI 48054 Phone: 800-848-0202 Fax: 586-226-6949 | |
St. Clair Infectious Diseases Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4050 River Rd, Ste 2, East China, MI 48054 Phone: 810-329-2268 Fax: 810-329-0966 | |
Mark T. O'brien, D.o., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4150 River Rd, Suite F2, East China, MI 48054 Phone: 810-329-4660 Fax: 810-329-4699 | |
Medflex P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4220 Hospital Dr, East China, MI 48054 Phone: 810-329-4736 | |
Thomas G. Wayne M.d., P.l.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4150 S River Rd, Suite1, East China, MI 48054 Phone: 810-326-0858 Fax: 810-326-0933 | |
Laura Lucio-reincke, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3436 S River Rd, Ste B, East China, MI 48054 Phone: 810-326-3540 Fax: 810-326-3541 |