| Seminole Shores Internal Medicine Pc | |
|
433 Seminole Rd Suite 105 Muskegon MI 49444-3743 | |
| (231) 739-2192 | |
| (231) 739-2343 |
| Full Name | Seminole Shores Internal Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 433 Seminole Rd, Muskegon, Michigan |
| Authorized Official Name and Position | Carl Anthony Ogas (OWNER) |
| Authorized Official Contact | 2317392192 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seminole Shores Internal Medicine Pc 433 Seminole Rd Suite 105 Muskegon MI 49444-3743 Ph: (231) 739-2192 | Seminole Shores Internal Medicine Pc 433 Seminole Rd Suite 105 Muskegon MI 49444-3743 Ph: (231) 739-2192 |
| NPI Number | 1467631804 |
|---|---|
| Provider Enumeration Date | 11/02/2007 |
| Last Update Date | 07/01/2008 |
| Medicare PECOS PAC ID | 9133113848 |
|---|---|
| Medicare Enrollment ID | O20040414000232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467631804 | NPI | - | NPPES |
| 1106110251 | Other | MI | BLUE CROSS BLUE SHIELD |
| 4559980 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RS0010X | Internal Medicine - Sports Medicine | 4301062711 (Michigan) | Primary |
| Provider Name | Carl A Ogas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467539940 PECOS PAC ID: 7012901259 Enrollment ID: I20040412000960 |
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