| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 209 S. Main St., Almont, Michigan |
| Authorized Official Name and Position | Robert E Lane (OWNER) |
| Authorized Official Contact | 8107983938 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 445 209 S. Main Street Almont MI 48003-0445 Ph: (810) 798-3938 | 209 S. Main St. Almont MI 48003 Ph: (810) 798-3938 |
| NPI Number | 1992909030 |
|---|---|
| Provider Enumeration Date | 06/13/2007 |
| Last Update Date | 01/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992909030 | NPI | - | NPPES |
| 1688080 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | RL004855 (Michigan) | Primary |
Mccarroll Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 198 N. Main St, Almont, MI 48003 Phone: 810-798-6560 |