| Art Of Medicine Personalized Pllc | |
|
405 N Division Rd Ste 4 Petoskey MI 49770-9046 | |
| (231) 622-6570 | |
| Not Available |
| Full Name | Art Of Medicine Personalized Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 405 N Division Rd Ste 4, Petoskey, Michigan |
| Authorized Official Name and Position | Wendy H Walker (OWNER/MEMBER) |
| Authorized Official Contact | 2313306417 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Art Of Medicine Personalized Pllc 405 N Division Rd Ste 4 Petoskey MI 49770-9046 Ph: (231) 373-8806 | Art Of Medicine Personalized Pllc 405 N Division Rd Ste 4 Petoskey MI 49770-9046 Ph: (231) 622-6570 |
| NPI Number | 1407527658 |
|---|---|
| Provider Enumeration Date | 09/27/2021 |
| Last Update Date | 03/11/2022 |
| Medicare PECOS PAC ID | 4486040003 |
|---|---|
| Medicare Enrollment ID | O20220407002540 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407527658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Wendy H Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053379834 PECOS PAC ID: 7810806072 Enrollment ID: I20100928001746 |
| Provider Name | Thomas Donald Loomis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376501163 PECOS PAC ID: 5395728927 Enrollment ID: I20100929000476 |
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