| Mid Michigan Home Visiting Doctors Llc | |
|
640 Romence Rd Suite 215 Portage MI 49024-3464 | |
| (269) 321-3300 | |
| Not Available |
| Full Name | Mid Michigan Home Visiting Doctors Llc |
|---|---|
| Speciality | General Practice |
| Location | 640 Romence Rd, Portage, Michigan |
| Authorized Official Name and Position | Jerry Omar (VICE PRESIDENT) |
| Authorized Official Contact | 3138628050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid Michigan Home Visiting Doctors Llc Po Box 40420 Redford MI 48240-0420 Ph: () - | Mid Michigan Home Visiting Doctors Llc 640 Romence Rd Suite 215 Portage MI 49024-3464 Ph: (269) 321-3300 |
| NPI Number | 1790092500 |
|---|---|
| Provider Enumeration Date | 09/01/2010 |
| Last Update Date | 12/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790092500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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