| Independence Healthcare Inc. | |
|
400 W Huron Rd, Au Gres, MI 48703-9543 | |
| (989) 876-8375 | |
| Not Available |
| Full Name | Independence Healthcare Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 400 W Huron Rd, Au Gres, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528145810 | NPI | - | NPPES |
| 0998230 | Other | MI | HEALTHPLUS |
| 4419737 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501008587 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Independence Healthcare Inc. 400 W Huron Rd, Au Gres, MI 48703-9543 Ph: (989) 876-8375 | Independence Healthcare Inc. 400 W Huron Rd, Au Gres, MI 48703-9543 Ph: (989) 876-8375 |
Peter Hans Gennrich, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 E Huron Rd, Au Gres, MI 48703 Phone: 989-254-6360 | |
Dr. Camille Gabriella-joanne Lutz, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 401 E Huron Rd, Au Gres, MI 48703 Phone: 989-254-6360 |