Manistique Lakes Family Clinic | |
17530 W County Road H-42 Curtis MI 49820 | |
(906) 586-3300 | |
Not Available |
Full Name | Manistique Lakes Family Clinic |
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Speciality | Clinic/Center |
Location | 17530 W County Road H-42, Curtis, Michigan |
Authorized Official Name and Position | Emily Emery-shea (CFO) |
Authorized Official Contact | 9062939200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Manistique Lakes Family Clinic 502 W Harrie St Newberry MI 49868-1209 Ph: () - | Manistique Lakes Family Clinic 17530 W County Road H-42 Curtis MI 49820 Ph: (906) 586-3300 |
NPI Number | 1972650935 |
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Provider Enumeration Date | 01/04/2007 |
Last Update Date | 12/23/2022 |
Medicare PECOS PAC ID | 5799671285 |
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Medicare Enrollment ID | O20040317000546 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972650935 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | Benjamin Bryant |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1194975128 PECOS PAC ID: 7416856182 Enrollment ID: I20040115000213 |
Provider Name | Michael C Macmillan |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1023003613 PECOS PAC ID: 0547157521 Enrollment ID: I20040303000883 |
Provider Name | Kimberley A Suhanic |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275637449 PECOS PAC ID: 3274424114 Enrollment ID: I20040322001088 |
Provider Name | Rodney J Riesland |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013998574 PECOS PAC ID: 7719974138 Enrollment ID: I20040428000507 |
Provider Name | Darrin J Benzing |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1447293618 PECOS PAC ID: 3577549914 Enrollment ID: I20040626000427 |
Provider Name | Balraj Dahiya |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1407806425 PECOS PAC ID: 4688635022 Enrollment ID: I20041020000249 |
Provider Name | Kevin Robert Durell |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1275574824 PECOS PAC ID: 8022067867 Enrollment ID: I20050119000224 |
Provider Name | Michael G Beaulieu |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912939117 PECOS PAC ID: 0446153811 Enrollment ID: I20060926000477 |
Provider Name | Steven Alan Vix |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1124078068 PECOS PAC ID: 7618959198 Enrollment ID: I20070306000733 |
Provider Name | Randy L Chilcote |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1700894235 PECOS PAC ID: 4789788274 Enrollment ID: I20070322000094 |
Provider Name | Jeffrey B Washington |
---|---|
Provider Type | Practitioner - Sleep Medicine |
Provider Identifiers | NPI Number: 1205056272 PECOS PAC ID: 8628178092 Enrollment ID: I20070713000638 |
Provider Name | Leslie Fraser |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1114056702 PECOS PAC ID: 5294803490 Enrollment ID: I20081010000467 |
Provider Name | Tracie V Burch |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1649494956 PECOS PAC ID: 9830257146 Enrollment ID: I20081015000151 |
Provider Name | Igor Siniakov |
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Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1053430272 PECOS PAC ID: 6507915097 Enrollment ID: I20091202000508 |
Provider Name | William M Sheppard |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932142221 PECOS PAC ID: 8628110681 Enrollment ID: I20100128000908 |
Provider Name | Patricia M Gill |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447318977 PECOS PAC ID: 1456475300 Enrollment ID: I20100828000190 |
Provider Name | Raghu N Rao |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720148307 PECOS PAC ID: 3274657127 Enrollment ID: I20100828000192 |
Provider Name | Jamie Devine Adair |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1972775831 PECOS PAC ID: 4385769009 Enrollment ID: I20100917000215 |
Provider Name | Richard Scharp |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1578607917 PECOS PAC ID: 6204818073 Enrollment ID: I20101022001265 |
Provider Name | James W Robertson |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1457357832 PECOS PAC ID: 5496934234 Enrollment ID: I20110125000889 |
Provider Name | Joshua Dean Martin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134421084 PECOS PAC ID: 5890745111 Enrollment ID: I20110401000826 |
Provider Name | Carol A Norman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932263084 PECOS PAC ID: 8022293679 Enrollment ID: I20110426000660 |
Provider Name | Jeffery E Sloniker |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1225137953 PECOS PAC ID: 1557522166 Enrollment ID: I20120409000040 |
Provider Name | William A Scalf |
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Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1306802657 PECOS PAC ID: 0244495984 Enrollment ID: I20120703000399 |
Provider Name | Alison B Quiring |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245522994 PECOS PAC ID: 7416195011 Enrollment ID: I20130521000047 |
Provider Name | Jonathan M Webb |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093077596 PECOS PAC ID: 1951543230 Enrollment ID: I20130815000817 |
Provider Name | Akhter Saeed |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1699783340 PECOS PAC ID: 8921236449 Enrollment ID: I20140108000736 |
Provider Name | Garrick Collins |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1487881439 PECOS PAC ID: 9234315409 Enrollment ID: I20140206000298 |
Provider Name | Aaron J Cutlip |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376957068 PECOS PAC ID: 7012134745 Enrollment ID: I20140804001440 |
Provider Name | Tina M Pountney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053323436 PECOS PAC ID: 5092710293 Enrollment ID: I20140807002122 |
Provider Name | Timothy M Mahon |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1194012807 PECOS PAC ID: 2365664729 Enrollment ID: I20160302002078 |
Provider Name | Kevin C Bryant |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1285949925 PECOS PAC ID: 3476781907 Enrollment ID: I20161227001649 |
Provider Name | Timothy Robert La Gasse |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013424191 PECOS PAC ID: 5193086395 Enrollment ID: I20180305001184 |
Provider Name | Jacqueline Donovan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366940496 PECOS PAC ID: 2466716048 Enrollment ID: I20180507002187 |
Provider Name | Brook Dake |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780169375 PECOS PAC ID: 6507119989 Enrollment ID: I20181101001380 |
Provider Name | Laura Lynn Generou |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1629543855 PECOS PAC ID: 2668725821 Enrollment ID: I20181105003488 |
Provider Name | Jonathan Dominick Alterie |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1770947194 PECOS PAC ID: 0840588653 Enrollment ID: I20200709000171 |
Provider Name | Andrew Ostosh |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1073003208 PECOS PAC ID: 9335495548 Enrollment ID: I20201026000289 |
Provider Name | John W Baldwin |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1386022432 PECOS PAC ID: 9638467053 Enrollment ID: I20220609000690 |
Provider Name | Heather Thornton |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1710694328 PECOS PAC ID: 0042660870 Enrollment ID: I20231220001413 |