Meridian Primary Care Pc | |
2270 Jolly Oak Rd Suite1 Okemos MI 48864-4528 | |
(517) 349-6140 | |
(517) 349-6216 |
Full Name | Meridian Primary Care Pc |
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Speciality | Family Medicine |
Location | 2270 Jolly Oak Rd, Okemos, Michigan |
Authorized Official Name and Position | Dennis J Perry (OWNER) |
Authorized Official Contact | 5173496140 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Meridian Primary Care Pc 2270 Jolly Oak Rd Suite 1 Okemos MI 48864-4528 Ph: (517) 349-6140 | Meridian Primary Care Pc 2270 Jolly Oak Rd Suite1 Okemos MI 48864-4528 Ph: (517) 349-6140 |
NPI Number | 1629128418 |
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Provider Enumeration Date | 01/12/2007 |
Last Update Date | 06/05/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629128418 | NPI | - | NPPES |
4186985 | Medicaid | MI | |
4187015 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | DP052522 (Michigan) | Primary |
207Q00000X | Family Medicine | KC064356 (Michigan) | Secondary |
Vlsr Madireddy Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4129 Okemos Rd, Ste 6, Okemos, MI 48864 Phone: 517-803-4544 Fax: 517-803-4509 | |
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