| Brent J Raap Do Pc | |
|
4293 N Huron Road Pinconning MI 48650 | |
| (989) 879-6244 | |
| (989) 879-1092 |
| Full Name | Brent J Raap Do Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 4293 N Huron Road, Pinconning, Michigan |
| Authorized Official Name and Position | Brent J Raap (DOCTOR) |
| Authorized Official Contact | 9898796244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brent J Raap Do Pc 4293 N Huron Road Pinconning MI 48650 Ph: (989) 879-6244 | Brent J Raap Do Pc 4293 N Huron Road Pinconning MI 48650 Ph: (989) 879-6244 |
| NPI Number | 1083837736 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 12/20/2009 |
| Medicare PECOS PAC ID | 0547243750 |
|---|---|
| Medicare Enrollment ID | O20040609001042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083837736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101013384 (Michigan) | Primary |
| Provider Name | Brent J Raap |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780678110 PECOS PAC ID: 2860393485 Enrollment ID: I20040610000218 |
Pinconning Medical Center P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 204 W 3rd St, Pinconning, MI 48650 Phone: 989-879-3771 Fax: 989-879-3788 |