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7335 Westshire Dr Suite 100 Lansing MI 48917-9703 | |
| (517) 622-2788 | |
| (517) 622-0460 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 7335 Westshire Dr, Lansing, 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 |
|---|---|
8175 Reliable Pkwy Chicago IL 60686-0081 Ph: (517) 622-2788 | 7335 Westshire Dr Suite 100 Lansing MI 48917-9703 Ph: (517) 622-2788 |
| NPI Number | 1043264559 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 03/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043264559 | NPI | - | NPPES |
| 080B310210 | Other | MI | BCBS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Mi Post Acute Specialists Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 707 Armstrong Rd, Lansing, MI 48911 Phone: 800-411-6768 | |
Lansing Family Physicians Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4202 Collins Rd, Suite 115, Lansing, MI 48910 Phone: 517-484-4520 Fax: 517-484-3930 | |
Ingham County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5303 S Cedar St, Lansing, MI 48911 Phone: 517-887-4311 | |