| Allegiance Health | |
|
1362 Heatherwood Ln Ann Arbor MI 48108-2813 | |
| (405) 408-6500 | |
| Not Available |
| Full Name | Allegiance Health |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1362 Heatherwood Ln, Ann Arbor, Michigan |
| Authorized Official Name and Position | Lance David Mueggenborg (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 4054086500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allegiance Health 1404 W. North Street Jackson MI 49202 Ph: (517) 782-2555 | Allegiance Health 1362 Heatherwood Ln Ann Arbor MI 48108-2813 Ph: (405) 408-6500 |
| NPI Number | 1417395997 |
|---|---|
| Provider Enumeration Date | 06/06/2013 |
| Last Update Date | 07/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417395997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 207Q00000X (Michigan) | Primary |
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