| Scott A Graves Md Pc | |
|
2337 W Mount Morris Rd Mount Morris MI 48458-8256 | |
| (810) 564-9524 | |
| (810) 564-9553 |
| Full Name | Scott A Graves Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2337 W Mount Morris Rd, Mount Morris, Michigan |
| Authorized Official Name and Position | Scott A Graves (SOLE MEMBER) |
| Authorized Official Contact | 8105649524 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott A Graves Md Pc 2337 W Mount Morris Rd Mount Morris MI 48458-8256 Ph: (810) 564-9524 | Scott A Graves Md Pc 2337 W Mount Morris Rd Mount Morris MI 48458-8256 Ph: (810) 564-9524 |
| NPI Number | 1730419177 |
|---|---|
| Provider Enumeration Date | 01/07/2010 |
| Last Update Date | 01/07/2010 |
| Medicare PECOS PAC ID | 8729113410 |
|---|---|
| Medicare Enrollment ID | O20100319000561 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730419177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301045165 (Michigan) | Primary |
| Provider Name | Scott A Graves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023169026 PECOS PAC ID: 7911032602 Enrollment ID: I20100319000552 |
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