| Pine Trees Medical Office, P.c. | |
|
604 W Main St Ste B Gaylord MI 49735-1869 | |
| (989) 448-2900 | |
| Not Available |
| Full Name | Pine Trees Medical Office, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 604 W Main St, Gaylord, Michigan |
| Authorized Official Name and Position | Roy W Boyer (PHYSICIAN) |
| Authorized Official Contact | 9894482900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pine Trees Medical Office, P.c. 604 W Main St Ste B Gaylord MI 49735-1869 Ph: (989) 448-2900 | Pine Trees Medical Office, P.c. 604 W Main St Ste B Gaylord MI 49735-1869 Ph: (989) 448-2900 |
| NPI Number | 1144628447 |
|---|---|
| Provider Enumeration Date | 12/18/2014 |
| Last Update Date | 12/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144628447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301028315 (Michigan) | Primary |
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