| Marvin Latchana Md Pc | |
|
G1071 N Ballenger Hwy Suite 206 Flint MI 48504-4453 | |
| (810) 234-1651 | |
| (810) 234-5959 |
| Full Name | Marvin Latchana Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | G1071 N Ballenger Hwy, Flint, Michigan |
| Authorized Official Name and Position | Bradley Eshbaugh (SECRETARY) |
| Authorized Official Contact | 8102396731 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marvin Latchana Md Pc G1071 N Ballenger Hwy Suite 206 Flint MI 48504-4453 Ph: (810) 234-1651 | Marvin Latchana Md Pc G1071 N Ballenger Hwy Suite 206 Flint MI 48504-4453 Ph: (810) 234-1651 |
| NPI Number | 1689853350 |
|---|---|
| Provider Enumeration Date | 10/30/2007 |
| Last Update Date | 10/30/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689853350 | NPI | - | NPPES |
| 2099844 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301037681 (Michigan) | Primary |
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