Shiawassee Family Medicine | |
115 N Shiawassee St Corunna MI 48817-1435 | |
(989) 743-3415 | |
(989) 743-6180 |
Full Name | Shiawassee Family Medicine |
---|---|
Speciality | General Practice |
Location | 115 N Shiawassee St, Corunna, Michigan |
Authorized Official Name and Position | Archibald W. Dettman (OWNER) |
Authorized Official Contact | 9897433415 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Shiawassee Family Medicine 115 N Shiawassee St Corunna MI 48817-1435 Ph: (989) 743-3415 | Shiawassee Family Medicine 115 N Shiawassee St Corunna MI 48817-1435 Ph: (989) 743-3415 |
NPI Number | 1184642886 |
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Provider Enumeration Date | 07/18/2006 |
Last Update Date | 06/16/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184642886 | NPI | - | NPPES |
CH2727 | Other | MI | TRAVELERS MC GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 5101006898 (Michigan) | Primary |