| Robert N Israel, Md | |
|
124 Seymour Ave Jackson MI 49202-3558 | |
| (517) 782-5700 | |
| (517) 782-3141 |
| Full Name | Robert N Israel, Md |
|---|---|
| Speciality | Family Medicine |
| Location | 124 Seymour Ave, Jackson, Michigan |
| Authorized Official Name and Position | Robert Nathan Israel (OWNER) |
| Authorized Official Contact | 5177825700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert N Israel, Md 124 Seymour Ave Jackson MI 49202-3558 Ph: (517) 782-5700 | Robert N Israel, Md 124 Seymour Ave Jackson MI 49202-3558 Ph: (517) 782-5700 |
| NPI Number | 1861622169 |
|---|---|
| Provider Enumeration Date | 07/21/2009 |
| Last Update Date | 07/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861622169 | NPI | - | NPPES |
| 2602310 TYPE 10 | Medicaid | MI | |
| 0381629 | Other | BLUECROSS BLUESHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301052400 (Michigan) | Primary |
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Lorna G. Pinson, Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 744 W Michigan Ave, Suite 101, Jackson, MI 49201 Phone: 517-782-2540 Fax: 517-782-1560 | |
Mid-michigan Health Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 214 N West Ave, Jackson, MI 49201 Phone: 517-784-9189 Fax: 517-784-9657 | |
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