Full Name | |
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Speciality | Clinic/Center |
Location | 3040 Bourn St, Lewiston, Michigan |
Authorized Official Name and Position | Bonnie Kruszka (COO MUNSON PHYSICIAN NETWORK) |
Authorized Official Contact | 2319354995 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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829 N Center Ave Gaylord MI 49735-1595 Ph: (989) 731-2100 | 3040 Bourn St Lewiston MI 49756 Ph: (989) 786-4877 |
NPI Number | 1285867838 |
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Provider Enumeration Date | 08/31/2009 |
Last Update Date | 10/04/2024 |
Medicare PECOS PAC ID | 8325942535 |
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Medicare Enrollment ID | O20100302000214 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285867838 | NPI | - | NPPES |
238620 | Other | CMS CERTIFICATION NUMBER |
Rite Aid Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2855 S County Road 489, Lewiston, MI 49756 Phone: 989-786-2239 |