Michigan Continuum Care Pllc | |
1310 Greenwood Ave. Jackson MI 49203 | |
(517) 990-8149 | |
(517) 990-0274 |
Full Name | Michigan Continuum Care Pllc |
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Speciality | Internal Medicine |
Location | 1310 Greenwood Ave., Jackson, Michigan |
Authorized Official Name and Position | Vlad Tudor Motoc (OWNER) |
Authorized Official Contact | 7348215699 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Michigan Continuum Care Pllc 1310 Greenwood Ave Jackson MI 49203 Ph: (517) 990-8149 | Michigan Continuum Care Pllc 1310 Greenwood Ave. Jackson MI 49203 Ph: (517) 990-8149 |
NPI Number | 1861800666 |
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Provider Enumeration Date | 07/25/2014 |
Last Update Date | 05/11/2016 |
Medicare PECOS PAC ID | 2264652213 |
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Medicare Enrollment ID | O20140925002030 |
Identifier | Type | State | Issuer |
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1861800666 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 4301085310 (Michigan) | Primary |
Provider Name | Vlad Motoc |
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Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1164462693 PECOS PAC ID: 5496715690 Enrollment ID: I20060106000375 |
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