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1249 S M 75 Boyne City MI 49712-9688 | |
(231) 582-2425 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 1249 S M 75, Boyne City, Michigan |
Authorized Official Name and Position | Tara Soules (VP/CFO) |
Authorized Official Contact | 9897726818 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1221 South Dr Mt Pleasant MI 48858-3257 Ph: (989) 772-6700 | 1249 S M 75 Boyne City MI 49712-9688 Ph: (231) 582-2425 |
NPI Number | 1316569205 |
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Provider Enumeration Date | 05/13/2020 |
Last Update Date | 10/21/2021 |
Identifier | Type | State | Issuer |
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1316569205 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Mclaren Central Michigan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1249 S M 75, Boyne City, MI 49712 Phone: 231-582-1515 | |