| Lighthouse Family Medicine, Pllc | |
|
4071 24th Ave Fort Gratiot MI 48059-3801 | |
| (810) 824-4222 | |
| (810) 824-4220 |
| Full Name | Lighthouse Family Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 4071 24th Ave, Fort Gratiot, Michigan |
| Authorized Official Name and Position | G. Blair Dowden (MEDICAL DOCTOR) |
| Authorized Official Contact | 8108244222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Family Medicine, Pllc 4071 24th Ave Fort Gratiot MI 48059-3801 Ph: (810) 824-4222 | Lighthouse Family Medicine, Pllc 4071 24th Ave Fort Gratiot MI 48059-3801 Ph: (810) 824-4222 |
| NPI Number | 1114222031 |
|---|---|
| Provider Enumeration Date | 01/25/2011 |
| Last Update Date | 01/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114222031 | NPI | - | NPPES |
| 1750379194 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301088847 (Michigan) | Primary |
Randy J. Plonka M.d. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5979 Lakeshore Rd, Fort Gratiot, MI 48059 Phone: 810-385-6370 Fax: 810-385-6357 | |
Horizon Family Medicine Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3041 Commerce Dr Ste B, Fort Gratiot, MI 48059 Phone: 810-385-4342 | |
Port Huron Mercy Family Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4190 24th Ave, Suite 206, Fort Gratiot, MI 48059 Phone: 810-216-4000 Fax: 810-216-4001 | |