| Michigan Family Practice, Llc | |
|
875 Laurence Ave Jackson MI 49202-2966 | |
| (517) 817-0280 | |
| (517) 787-0730 |
| Full Name | Michigan Family Practice, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 875 Laurence Ave, Jackson, Michigan |
| Authorized Official Name and Position | Gary Mikesell (OWNER/PHYSICIAN) |
| Authorized Official Contact | 5175368677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan Family Practice, Llc Po Box 739 Napoleon MI 49261-0739 Ph: (517) 536-8677 | Michigan Family Practice, Llc 875 Laurence Ave Jackson MI 49202-2966 Ph: (517) 817-0280 |
| NPI Number | 1225070998 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225070998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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