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145 4th Avenue N Gladstone MI 49837-1054 | |
(906) 428-3273 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 145 4th Avenue N, Gladstone, Michigan |
Authorized Official Name and Position | Robert C Sehring (CEO, OSF HEALTHCARE SYSTEM) |
Authorized Official Contact | 3096557804 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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124 Sw Adams St Peoria IL 61602-1320 Ph: (309) 655-2850 | 145 4th Avenue N Gladstone MI 49837-1054 Ph: (906) 428-3273 |
NPI Number | 1649344292 |
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Provider Enumeration Date | 11/17/2006 |
Last Update Date | 03/18/2024 |
Medicare PECOS PAC ID | 5991604753 |
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Medicare Enrollment ID | O20070928000155 |
Identifier | Type | State | Issuer |
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1649344292 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Waters Edge Chiropractic Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 922 Delta Ave, Gladstone, MI 49837 Phone: 906-428-9076 |