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6401 Prairie Street Suite 2600 Muskegon MI 49444 | |
(231) 727-7900 | |
(231) 727-7914 |
Full Name | |
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Speciality | Family Medicine |
Location | 6401 Prairie Street, Muskegon, Michigan |
Authorized Official Name and Position | Linda Ellison (ACCOUNTING MANAGER) |
Authorized Official Contact | 2317281678 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6401 Prairie Street Suite 2600 Muskegon MI 49444 Ph: (231) 727-7900 | 6401 Prairie Street Suite 2600 Muskegon MI 49444 Ph: (231) 727-7900 |
NPI Number | 1992749014 |
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Provider Enumeration Date | 06/16/2006 |
Last Update Date | 09/19/2007 |
Identifier | Type | State | Issuer |
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1992749014 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Hackley Community Care Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 E Laketon Ave Ste A, Muskegon, MI 49441 Phone: 231-737-1335 | |
Hpcn Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 986 W Norton Ave, Muskegon, MI 49441 Phone: 231-737-2194 Fax: 231-737-4524 | |