| Third Avenue Family Clinic, Pc | |
|
14 N. Third Ave Fruitport MI 49415 | |
| (231) 865-3918 | |
| (231) 865-3510 |
| Full Name | Third Avenue Family Clinic, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 14 N. Third Ave, Fruitport, Michigan |
| Authorized Official Name and Position | Joyce Stapel (OFFICE MANAGER) |
| Authorized Official Contact | 2318653918 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Third Avenue Family Clinic, Pc 14 N 3rd Ave Fruitport MI 49415-8920 Ph: (231) 865-3918 | Third Avenue Family Clinic, Pc 14 N. Third Ave Fruitport MI 49415 Ph: (231) 865-3918 |
| NPI Number | 1619997996 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 05/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619997996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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