| Northern Family Medicine, Pllc | |
|
3890 Charlevoix Rd Ste 230 Petoskey MI 49770-8420 | |
| (123) 134-7190 | |
| Not Available |
| Full Name | Northern Family Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3890 Charlevoix Rd Ste 230, Petoskey, Michigan |
| Authorized Official Name and Position | Janet Talmo (OWNER) |
| Authorized Official Contact | 2313471900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Family Medicine, Pllc 2810 Charlevoix Rd Ste 104 Petoskey MI 49770-8421 Ph: (231) 347-1900 | Northern Family Medicine, Pllc 3890 Charlevoix Rd Ste 230 Petoskey MI 49770-8420 Ph: (123) 134-7190 |
| NPI Number | 1801364005 |
|---|---|
| Provider Enumeration Date | 11/06/2018 |
| Last Update Date | 10/19/2021 |
| Medicare PECOS PAC ID | 9739424631 |
|---|---|
| Medicare Enrollment ID | O20181221000086 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801364005 | NPI | - | NPPES |
| 4301049260 | Other | MI | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Janet L Talmo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932152071 PECOS PAC ID: 5092719518 Enrollment ID: I20060914000036 |
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