Robert Bouvier Md, Plc | |
12741 S Saginaw Street Ste 402 Grand Blanc MI 48439 | |
(810) 694-7412 | |
Not Available |
Full Name | Robert Bouvier Md, Plc |
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Speciality | Family Medicine |
Location | 12741 S Saginaw Street, Grand Blanc, Michigan |
Authorized Official Name and Position | Tina Wrinkle (MANAGER) |
Authorized Official Contact | 8106947412 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Robert Bouvier Md, Plc 12741 S Saginaw Street Ste 402 Grand Blanc MI 48439 Ph: () - | Robert Bouvier Md, Plc 12741 S Saginaw Street Ste 402 Grand Blanc MI 48439 Ph: (810) 694-7412 |
NPI Number | 1700049616 |
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Provider Enumeration Date | 07/10/2008 |
Last Update Date | 07/10/2008 |
Medicare PECOS PAC ID | 0042385163 |
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Medicare Enrollment ID | O20080823000092 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700049616 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4301048801 (Michigan) | Primary |
Provider Name | Lynn R Walker |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699765685 PECOS PAC ID: 4688606544 Enrollment ID: I20050831000682 |
Provider Name | Robert M Bouvier |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124011291 PECOS PAC ID: 7113811308 Enrollment ID: I20080823000087 |
Provider Name | Jon L Schriner |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1902951809 PECOS PAC ID: 8729277876 Enrollment ID: I20110105001014 |
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