| |
1800 W Caro Rd Ste Vi Caro MI 48723-8209 | |
(989) 673-6144 | |
(989) 672-1800 |
Full Name | |
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Speciality | Family Medicine |
Location | 1800 W Caro Rd Ste Vi, Caro, Michigan |
Authorized Official Name and Position | Megan Putman (ADMINISTRATOR) |
Authorized Official Contact | 9896736144 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1800 W Caro Rd Ste Vi Caro MI 48723-8209 Ph: (989) 673-6144 | 1800 W Caro Rd Ste Vi Caro MI 48723-8209 Ph: (989) 673-6144 |
NPI Number | 1043806730 |
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Provider Enumeration Date | 12/16/2020 |
Last Update Date | 10/10/2023 |
Medicare PECOS PAC ID | 7012322761 |
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Medicare Enrollment ID | O20210210003366 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043806730 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Blake Putman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659784338 PECOS PAC ID: 3870884547 Enrollment ID: I20171005002403 |
Provider Name | Heather Anna-donna Wilson-vani |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407508781 PECOS PAC ID: 0143690313 Enrollment ID: I20230626000715 |
Provider Name | Kaitlyn E Mcintosh |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427642875 PECOS PAC ID: 6305254236 Enrollment ID: I20230802001707 |
Provider Name | Lindsay Bissett |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346965340 PECOS PAC ID: 6507227881 Enrollment ID: I20230802004027 |
Provider Name | Joshuah Edward Guigar |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952024747 PECOS PAC ID: 5799139911 Enrollment ID: I20230921002947 |
Provider Name | Nancy Ann-martin Palombo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912596099 PECOS PAC ID: 4082146204 Enrollment ID: I20241014001098 |
Provider Name | Camryn Taylor Davis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518693746 PECOS PAC ID: 1052780103 Enrollment ID: I20241113002134 |
Tri City Geriatrics Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1070 E Caro Rd, Caro, MI 48723 Phone: 989-672-0341 Fax: 989-672-0343 | |
Hills & Dales General Hospital, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 130 Millwood Street, Caro, MI 48723 Phone: 989-912-6206 | |
Mid Michigan Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1070 E Caro Rd, Caro, MI 48723 Phone: 989-672-2500 |