| Midmichigan Neuropsychology Associates, P.l.c. | |
|
4705 Towne Centre Rd. Suite 304 Saginaw MI 48604-2821 | |
| (989) 921-5100 | |
| (989) 921-5104 |
| Full Name | Midmichigan Neuropsychology Associates, P.l.c. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 4705 Towne Centre Rd., Saginaw, Michigan |
| Authorized Official Name and Position | William D Macinnes (MEMBER) |
| Authorized Official Contact | 9899215100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midmichigan Neuropsychology Associates, P.l.c. 4705 Towne Centre Rd. Suite 304 Saginaw MI 48604-2821 Ph: (989) 921-5100 | Midmichigan Neuropsychology Associates, P.l.c. 4705 Towne Centre Rd. Suite 304 Saginaw MI 48604-2821 Ph: (989) 921-5100 |
| NPI Number | 1801128657 |
|---|---|
| Provider Enumeration Date | 02/04/2010 |
| Last Update Date | 11/22/2017 |
| Medicare PECOS PAC ID | 2668516071 |
|---|---|
| Medicare Enrollment ID | O20100224000102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801128657 | NPI | - | NPPES |
| WM008040 | Other | MI | BCBS |
| P93585 | Other | MI | BLUE CARE NETWORK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 6301008040 (Michigan) | Primary |
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