| Lakes Family Medicine | |
|
6207 Harvey St Ste A Muskegon MI 49444-9739 | |
| (231) 799-2515 | |
| (231) 799-2618 |
| Full Name | Lakes Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 6207 Harvey St, Muskegon, Michigan |
| Authorized Official Name and Position | Thomas Reynolds (SENIOR DIRECTOR OF NETWORK ADMIN) |
| Authorized Official Contact | 2316726470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakes Family Medicine Po Box 1148 Muskegon MI 49443-1148 Ph: (231) 727-4444 | Lakes Family Medicine 6207 Harvey St Ste A Muskegon MI 49444-9739 Ph: (231) 799-2515 |
| NPI Number | 1972534121 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 01/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972534121 | NPI | - | NPPES |
| 080F111420 | Other | MI | BCBSM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Michigan) | Primary |
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