| Northern Michigan Gastroenterology Plc | |
|
224 Circle Dr Traverse City MI 49684-2342 | |
| (231) 935-0525 | |
| (231) 935-0529 |
| Full Name | Northern Michigan Gastroenterology Plc |
|---|---|
| Speciality | Internal Medicine |
| Location | 224 Circle Dr, Traverse City, Michigan |
| Authorized Official Name and Position | John P Milliken (PRESIDENT) |
| Authorized Official Contact | 2319350525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Michigan Gastroenterology Plc 224 Circle Dr Traverse City MI 49684-2342 Ph: (231) 935-0525 | Northern Michigan Gastroenterology Plc 224 Circle Dr Traverse City MI 49684-2342 Ph: (231) 935-0525 |
| NPI Number | 1659376077 |
|---|---|
| Provider Enumeration Date | 06/14/2005 |
| Last Update Date | 01/17/2011 |
| Medicare PECOS PAC ID | 8224086970 |
|---|---|
| Medicare Enrollment ID | O20050110000267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659376077 | NPI | - | NPPES |
| P89086 | Other | MI | BLUE CARE NETWORK |
| 10 4680183 | Medicaid | MI | |
| 10 02810491 | Other | MI | BLUECROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 4301052861 (Michigan) | Primary |
| Provider Name | John P Milliken |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013048057 PECOS PAC ID: 9234129552 Enrollment ID: I20050118000205 |
Munson Walk In Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3074 N Us 31 S, Traverse City, MI 49684 Phone: 231-929-1234 Fax: 231-935-0984 | |
County Health Support Services Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Washington St, Traverse City, MI 49684 Phone: 231-922-4532 | |
Northwest Michigan Health Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1776 3 Mile Rd N Rm 522, Traverse City, MI 49696 Phone: 231-642-9295 | |
Best Medical Services Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 814 S Garfield Ave Ste C, Traverse City, MI 49686 Phone: 231-922-8722 Fax: 231-486-6042 | |
Endocrinology And Metabolism Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1221 Sixth St Ste 208, Traverse City, MI 49684 Phone: 231-935-2045 Fax: 231-935-2046 | |
Partners In Health Of Traverse City Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3074 N Us 31 S, Traverse City, MI 49684 Phone: 231-935-0535 Fax: 231-935-0454 | |
Indigo Hospital Medicine - Traverse City, Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-346-6807 Fax: 231-346-6052 |