| St Charles Family Practice Plc Llc | |
|
611 W Belle Ave Saint Charles MI 48655-1611 | |
| (989) 865-9958 | |
| (989) 865-8099 |
| Full Name | St Charles Family Practice Plc Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 611 W Belle Ave, Saint Charles, Michigan |
| Authorized Official Name and Position | Naveed Mahfooz (OWNER) |
| Authorized Official Contact | 9898659958 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Charles Family Practice Plc Llc 611 W Belle Ave Saint Charles MI 48655-1611 Ph: (989) 865-9958 | St Charles Family Practice Plc Llc 611 W Belle Ave Saint Charles MI 48655-1611 Ph: (989) 865-9958 |
| NPI Number | 1134431778 |
|---|---|
| Provider Enumeration Date | 07/12/2010 |
| Last Update Date | 02/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134431778 | NPI | - | NPPES |
| MI9894 | Other | MI | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301055115 (Michigan) | Primary |
Ronald L Gonzales Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1124 N Saginaw St, Saint Charles, MI 48655 Phone: 989-865-8270 Fax: 989-865-8582 | |
St. Charles Family Clinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 W Belle Ave, Saint Charles, MI 48655 Phone: 989-865-9958 | |
St. Charles Family Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 W Belle Avenue, Saint Charles, MI 48655 Phone: 989-865-9958 Fax: 989-865-8099 |