Valle Family Care Llc | |
134 S Cochran Ave Ste B Charlotte MI 48813-1557 | |
(517) 485-0001 | |
Not Available |
Full Name | Valle Family Care Llc |
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Speciality | Family Medicine |
Location | 134 S Cochran Ave Ste B, Charlotte, Michigan |
Authorized Official Name and Position | Luis G Valle (OWNER) |
Authorized Official Contact | 6167067537 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Valle Family Care Llc 134 S Cochran Ave Ste B Charlotte MI 48813-1557 Ph: (517) 485-0001 | Valle Family Care Llc 134 S Cochran Ave Ste B Charlotte MI 48813-1557 Ph: (517) 485-0001 |
NPI Number | 1316677404 |
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Provider Enumeration Date | 06/13/2022 |
Last Update Date | 06/13/2022 |
Medicare PECOS PAC ID | 7416324611 |
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Medicare Enrollment ID | O20221101000645 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316677404 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Luis G Valle |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790949667 PECOS PAC ID: 1355379728 Enrollment ID: I20050728000225 |
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