| Petoskey Family Medicine P.c. | |
|
1890 S Us 131 Suite 3 Petoskey MI 49770-8344 | |
| (231) 487-6000 | |
| (231) 487-6014 |
| Full Name | Petoskey Family Medicine P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 1890 S Us 131, Petoskey, Michigan |
| Authorized Official Name and Position | Claudia A Santini (PRACTICE MANAGER) |
| Authorized Official Contact | 2314876000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Petoskey Family Medicine P.c. 1890 S Us 131 Suite 3 Petoskey MI 49770-8344 Ph: (231) 487-6000 | Petoskey Family Medicine P.c. 1890 S Us 131 Suite 3 Petoskey MI 49770-8344 Ph: (231) 487-6000 |
| NPI Number | 1093703548 |
|---|---|
| Provider Enumeration Date | 10/10/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093703548 | NPI | - | NPPES |
| 4087341 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301044355 (Michigan) | Primary |
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