| University Of Michigan Health-sparrow Charlotte 111 Primary Care | |
|
111 Lansing St Ste 230 Charlotte MI 48813-2400 | |
| (175) 435-1105 | |
| (517) 543-9776 |
| Full Name | University Of Michigan Health-sparrow Charlotte 111 Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 111 Lansing St Ste 230, Charlotte, Michigan |
| Authorized Official Name and Position | Misty Gunter Russian (SUPERVISOR, PROVIDER ENROLLMENT) |
| Authorized Official Contact | 5172536308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Michigan Health-sparrow Charlotte 111 Primary Care 8175 Reliable Pkwy Chicago IL 60686-0081 Ph: (517) 253-6320 | University Of Michigan Health-sparrow Charlotte 111 Primary Care 111 Lansing St Ste 230 Charlotte MI 48813-2400 Ph: (175) 435-1105 |
| NPI Number | 1225237613 |
|---|---|
| Provider Enumeration Date | 07/16/2007 |
| Last Update Date | 03/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225237613 | NPI | - | NPPES |
| 0B36007 | Other | MI | BCN FAMILY PRACTICE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 230020 (Michigan) | Primary |
| 261QX0200X | Clinic/center - Oncology | (* (Not Available)) | Secondary |
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Altman Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 134 S Cochran Ave, Suite B, Charlotte, MI 48813 Phone: 517-588-0001 Fax: 313-561-0277 | |
Family Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Lansing St, Suite 110, Charlotte, MI 48813 Phone: 517-543-7720 Fax: 517-543-1125 | |
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