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250 Nelson Rd Suite 1 Ludington MI 49431-1993 | |
(231) 843-6767 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 250 Nelson Rd, Ludington, Michigan |
Authorized Official Name and Position | Randall Stasik (PRESIDENT) |
Authorized Official Contact | 2319241340 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 Ph: () - | 250 Nelson Rd Suite 1 Ludington MI 49431-1993 Ph: (231) 843-6767 |
NPI Number | 1093161820 |
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Provider Enumeration Date | 05/11/2016 |
Last Update Date | 06/15/2016 |
Identifier | Type | State | Issuer |
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1093161820 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Spectrum Health Primary Care Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 922 Lawndale St, Ludington, MI 49431 Phone: 231-845-7380 | |
New Life Medical Senior Care Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 S Wildwood Xing Apt 20, Ludington, MI 49431 Phone: 231-233-1704 | |