| Wexford Pho | |
|
117 N Mitchell St Ste. 6 Cadillac MI 49601-1884 | |
| (231) 876-7139 | |
| (231) 775-4187 |
| Full Name | Wexford Pho |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 117 N Mitchell St, Cadillac, Michigan |
| Authorized Official Name and Position | Kim Speese (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2318767859 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wexford Pho 117 N Mitchell St Ste. 6 Cadillac MI 49601-1884 Ph: (231) 876-7139 | Wexford Pho 117 N Mitchell St Ste. 6 Cadillac MI 49601-1884 Ph: (231) 876-7139 |
| NPI Number | 1144679721 |
|---|---|
| Provider Enumeration Date | 06/06/2016 |
| Last Update Date | 06/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144679721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801086768 (Michigan) | Primary |
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