| Full Name | |
|---|---|
| Speciality | General Practice |
| Location | 1996 Walden Dr, Gaylord, Michigan |
| Authorized Official Name and Position | Thomas R. Lemon (CEO) |
| Authorized Official Contact | 9897312230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
825 N Center Ave Gaylord MI 49735-1592 Ph: (989) 731-2100 | 1996 Walden Dr Gaylord MI 49735 Ph: (989) 731-4111 |
| NPI Number | 1487791695 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 08/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487791695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 690020 (Michigan) | Primary |
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Alpine Family Medicine Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 652 N Otsego Ave, Gaylord, MI 49735 Phone: 989-732-3529 Fax: 989-732-7865 | |
Otsego Physician Services Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 N Center Ave, Gaylord, MI 49735 Phone: 989-731-2100 Fax: 989-731-2205 | |
Donald P. Cousineau Do Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 994 N Center Ave, Gaylord, MI 49735 Phone: 989-732-7843 Fax: 989-731-4513 | |