| |
4190 24th Ave Suite 206 Fort Gratiot MI 48059-3882 | |
(810) 989-7478 | |
(810) 989-7644 |
Full Name | |
---|---|
Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 4190 24th Ave, Fort Gratiot, Michigan |
Authorized Official Name and Position | Nancy Mason (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8109851868 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 610669 Port Huron MI 48061-0669 Ph: (810) 987-1029 | 4190 24th Ave Suite 206 Fort Gratiot MI 48059-3882 Ph: (810) 989-7478 |
NPI Number | 1942615414 |
---|---|
Provider Enumeration Date | 06/24/2014 |
Last Update Date | 07/07/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942615414 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
Randy J. Plonka M.d. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5979 Lakeshore Rd, Fort Gratiot, MI 48059 Phone: 810-385-6370 Fax: 810-385-6357 | |
Lighthouse Family Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4071 24th Ave, Fort Gratiot, MI 48059 Phone: 810-824-4222 Fax: 810-824-4220 | |
Horizon Family Medicine Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3041 Commerce Dr Ste B, Fort Gratiot, MI 48059 Phone: 810-385-4342 | |
Port Huron Mercy Family Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4190 24th Ave, Suite 206, Fort Gratiot, MI 48059 Phone: 810-216-4000 Fax: 810-216-4001 | |