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1794 N Lapeer Rd Ste D Lapeer MI 48446-7664 | |
| (810) 235-2004 | |
| (810) 235-2841 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1794 N Lapeer Rd Ste D, Lapeer, Michigan |
| Authorized Official Name and Position | Gail Kromer (BILLING MANAGER) |
| Authorized Official Contact | 8102352004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2700 Robert T Longway Blvd Ste B Flint MI 48503-2190 Ph: (810) 235-2004 | 1794 N Lapeer Rd Ste D Lapeer MI 48446-7664 Ph: (810) 235-2004 |
| NPI Number | 1487079927 |
|---|---|
| Provider Enumeration Date | 02/20/2014 |
| Last Update Date | 02/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487079927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | JS061264 (Michigan) | Primary |
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