| Medical Acne & Skin Care | |
|
150 W. Ridge St. Marquette MI 49855 | |
| (906) 235-4486 | |
| (906) 680-4077 |
| Full Name | Medical Acne & Skin Care |
|---|---|
| Speciality | Family Medicine |
| Location | 150 W. Ridge St., Marquette, Michigan |
| Authorized Official Name and Position | Christine Mattila (OFFICE MANAGER) |
| Authorized Official Contact | 9062354486 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Acne & Skin Care 150 W. Ridge St. Marquette MI 49855 Ph: (906) 235-4486 | Medical Acne & Skin Care 150 W. Ridge St. Marquette MI 49855 Ph: (906) 235-4486 |
| NPI Number | 1184983884 |
|---|---|
| Provider Enumeration Date | 05/15/2012 |
| Last Update Date | 12/22/2022 |
| Medicare PECOS PAC ID | 0941464689 |
|---|---|
| Medicare Enrollment ID | O20120611000131 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184983884 | NPI | - | NPPES |
| 4117988 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301066449 (Michigan) | Primary |
| Provider Name | Gregory L Sulik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518929579 PECOS PAC ID: 9739376914 Enrollment ID: I20101214000831 |
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