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170 W Genesee St Frankenmuth MI 48734-1305 | |
(989) 652-7344 | |
(989) 652-7355 |
Full Name | |
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Speciality | Family Medicine |
Location | 170 W Genesee St, Frankenmuth, Michigan |
Authorized Official Name and Position | Mohammad Jondy (OWNER) |
Authorized Official Contact | 9896527344 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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170 W Genesee St Frankenmuth MI 48734-1305 Ph: (899) 652-7344 | 170 W Genesee St Frankenmuth MI 48734-1305 Ph: (989) 652-7344 |
NPI Number | 1013413236 |
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Provider Enumeration Date | 04/05/2018 |
Last Update Date | 09/25/2023 |
Medicare PECOS PAC ID | 0143577486 |
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Medicare Enrollment ID | O20180718001838 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013413236 | NPI | - | NPPES |
1275290017 | Other | MI | NPI |
1255861738 | Other | MI | NPI |
1912312489 | Other | MI | NPI |
1740723170 | Other | MI | NPI |
Provider Name | Krista Gibbs |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740723170 PECOS PAC ID: 7315228087 Enrollment ID: I20170111003412 |
Provider Name | Mohammad A Jondy |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912312489 PECOS PAC ID: 1355660515 Enrollment ID: I20180718002045 |
Provider Name | Henry Birchmeier |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497442271 PECOS PAC ID: 5092175166 Enrollment ID: I20230720002879 |
Provider Name | Thaer Jamal Farhan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871117457 PECOS PAC ID: 9335562842 Enrollment ID: I20230830003900 |
James F Shetlar Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 163 F Church Grove Road, Frankenmuth, MI 48734 Phone: 989-652-9969 | |