University Of Michigan Health-sparrow Williamston Primary Care | |
301 Williamston Center Rd Williamston MI 48895-8502 | |
(517) 253-5125 | |
(517) 253-5126 |
Full Name | University Of Michigan Health-sparrow Williamston Primary Care |
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Speciality | Family Medicine |
Location | 301 Williamston Center Rd, Williamston, Michigan |
Authorized Official Name and Position | Misty Gunter Russian (SUPERVISOR, PROVIDER ENROLLMENT) |
Authorized Official Contact | 5172536308 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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University Of Michigan Health-sparrow Williamston Primary Care 8175 Reliable Pkwy Chicago IL 60686-0081 Ph: (517) 364-6253 | University Of Michigan Health-sparrow Williamston Primary Care 301 Williamston Center Rd Williamston MI 48895-8502 Ph: (517) 253-5125 |
NPI Number | 1205285335 |
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Provider Enumeration Date | 06/09/2016 |
Last Update Date | 03/26/2024 |
Medicare PECOS PAC ID | 6709799166 |
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Medicare Enrollment ID | O20160630001252 |
Identifier | Type | State | Issuer |
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1205285335 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 1060000091 (Michigan) | Primary |
Provider Name | Michael H Zaroukian |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1558307249 PECOS PAC ID: 5698763563 Enrollment ID: I20040501000173 |
Provider Name | Susan Caldwell |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295830792 PECOS PAC ID: 7911096813 Enrollment ID: I20071129000577 |
Provider Name | David W Luginbill |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275598971 PECOS PAC ID: 9032263702 Enrollment ID: I20090814000043 |
Provider Name | Kenneth John Price |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679665319 PECOS PAC ID: 2365616141 Enrollment ID: I20111111000587 |
Provider Name | Jacqueline S Urban |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1013320449 PECOS PAC ID: 5496970998 Enrollment ID: I20140625000921 |
Provider Name | Dorothea A Edmunds |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982979449 PECOS PAC ID: 9931332558 Enrollment ID: I20150604002406 |
Provider Name | Daniel J Triezenberg |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124100698 PECOS PAC ID: 1052508298 Enrollment ID: I20170501000508 |
Provider Name | Brittany Glynn |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902385743 PECOS PAC ID: 4789097825 Enrollment ID: I20210108000683 |
Provider Name | Mackenzie Bruce Dickinson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003301557 PECOS PAC ID: 7214284876 Enrollment ID: I20210712000113 |
Provider Name | Gina M Delp |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922667468 PECOS PAC ID: 7416335393 Enrollment ID: I20220606000822 |
Family Healt H Center Of Williamston, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 319 W Grand River Ave, Williamston, MI 48895 Phone: 517-655-3979 | |
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