Medplus P C | |
212 S Main St Brooklyn MI 49230-9114 | |
(517) 592-5679 | |
Not Available |
Full Name | Medplus P C |
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Speciality | General Practice |
Location | 212 S Main St, Brooklyn, Michigan |
Authorized Official Name and Position | Gene E Kielhorn (PRESIDENT) |
Authorized Official Contact | 5175925679 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medplus P C 212 S Main St Brooklyn MI 49230-9114 Ph: (517) 592-5679 | Medplus P C 212 S Main St Brooklyn MI 49230-9114 Ph: (517) 592-5679 |
NPI Number | 1891817136 |
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Provider Enumeration Date | 04/06/2007 |
Last Update Date | 10/30/2007 |
Medicare PECOS PAC ID | 2264511476 |
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Medicare Enrollment ID | O20080429000755 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891817136 | NPI | - | NPPES |
700C86065 | Other | MI | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Brad E. Kremer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396914230 PECOS PAC ID: 7214123843 Enrollment ID: I20110121000327 |
Provider Name | Victoria E Hallett |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1235354457 PECOS PAC ID: 3375799588 Enrollment ID: I20120803000148 |
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