Okemos Primary Care Physicians Pc | |
2104 Jolly Rd Suite 290 Okemos MI 48864-6038 | |
(517) 708-7283 | |
(517) 708-7294 |
Full Name | Okemos Primary Care Physicians Pc |
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Speciality | Clinic/center - Primary Care |
Location | 2104 Jolly Rd, Okemos, Michigan |
Authorized Official Name and Position | Sudha R Yenumula (PRESIDENT AND CEO) |
Authorized Official Contact | 5177087283 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Okemos Primary Care Physicians Pc 2104 Jolly Rd Suite 290 Okemos MI 48864-6038 Ph: (517) 708-7283 | Okemos Primary Care Physicians Pc 2104 Jolly Rd Suite 290 Okemos MI 48864-6038 Ph: (517) 708-7283 |
NPI Number | 1104079268 |
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Provider Enumeration Date | 11/02/2008 |
Last Update Date | 05/28/2009 |
Identifier | Type | State | Issuer |
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1104079268 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 4301087786 (Michigan) | Primary |
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