| Senior Diagnostic Center | |
|
632 North Ave Battle Creek MI 49017-3249 | |
| (269) 969-6145 | |
| (269) 969-6133 |
| Full Name | Senior Diagnostic Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 632 North Ave, Battle Creek, Michigan |
| Authorized Official Name and Position | Richard S Kranz (PRESIDENT) |
| Authorized Official Contact | 2699696145 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Diagnostic Center 632 North Ave Battle Creek MI 49017-3249 Ph: (269) 969-6145 | Senior Diagnostic Center 632 North Ave Battle Creek MI 49017-3249 Ph: (269) 969-6145 |
| NPI Number | 1679642599 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679642599 | NPI | - | NPPES |
| 1202010 | Medicaid | MI | |
| 4595108 | Medicaid | MI | |
| 1786886 | Medicaid | MI | |
| 2738542 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | RK031921 (Michigan) | Primary |
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