South Shore Family Practice Pc | |
107 W Main St Marquette MI 49855-4604 | |
(906) 225-3988 | |
(906) 225-4707 |
Full Name | South Shore Family Practice Pc |
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Speciality | Family Medicine |
Location | 107 W Main St, Marquette, Michigan |
Authorized Official Name and Position | Spring L Madosh (DOCTOR PRESIDENT) |
Authorized Official Contact | 9062253988 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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South Shore Family Practice Pc 107 W Main St Marquette MI 49855-4604 Ph: (906) 225-3988 | South Shore Family Practice Pc 107 W Main St Marquette MI 49855-4604 Ph: (906) 225-3988 |
NPI Number | 1720115173 |
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Provider Enumeration Date | 02/27/2007 |
Last Update Date | 03/23/2023 |
Medicare PECOS PAC ID | 7416030788 |
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Medicare Enrollment ID | O20080208000460 |
Identifier | Type | State | Issuer |
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1720115173 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Michigan) | Primary |
Provider Name | Mark Charles Stevens |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881698249 PECOS PAC ID: 3678656949 Enrollment ID: I20080208000478 |
Provider Name | Daniel D Hardie |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669476925 PECOS PAC ID: 0042393316 Enrollment ID: I20080215000713 |
Provider Name | Spring L Madosh |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003127028 PECOS PAC ID: 5890937296 Enrollment ID: I20130814000970 |
Provider Name | Erika S Kielhorn |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336548817 PECOS PAC ID: 8224257951 Enrollment ID: I20140911001464 |
Provider Name | Amelia Wright Sramek |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003103888 PECOS PAC ID: 3173763802 Enrollment ID: I20200528003086 |
Provider Name | Rebecca A Reinertsen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598290991 PECOS PAC ID: 7719253970 Enrollment ID: I20201008003614 |
Provider Name | Lize Loubser |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245852623 PECOS PAC ID: 1557788775 Enrollment ID: I20230707002973 |
Monarch Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 545 County Road Hq, Marquette, MI 49855 Phone: 906-273-0072 Fax: 906-273-0559 | |
Marquette Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1414 W Fair Ave Ste 249, Marquette, MI 49855 Phone: 906-449-2900 Fax: 906-449-2945 | |
Jeffrey S Karr Mdpc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1414 W Fair Ave, Marquette, MI 49855 Phone: 906-251-0287 | |
Singletrack Health, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 W Main St, Suite 2, Marquette, MI 49855 Phone: 906-662-4070 Fax: 906-662-4091 | |
Medical Acne & Skin Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 150 W. Ridge St., Marquette, MI 49855 Phone: 906-235-4486 Fax: 906-680-4077 | |
Heritage Health, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1007 Harbor Hills Dr Ste B, Marquette, MI 49855 Phone: 616-260-0086 | |
Infectious Disease Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 W Fair Ave, Ste 111, Marquette, MI 49855 Phone: 906-225-7601 Fax: 906-225-7453 |