| Roy B Parke D.o. | |
|
1045 E Front St Buchanan MI 49107-8474 | |
| (269) 695-5540 | |
| (269) 695-0412 |
| Full Name | Roy B Parke D.o. |
|---|---|
| Speciality | Family Medicine |
| Location | 1045 E Front St, Buchanan, Michigan |
| Authorized Official Name and Position | Brenda Lee Ernsberger (OFFICE MANAGER) |
| Authorized Official Contact | 2696955540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roy B Parke D.o. 1045 E Front St Buchanan MI 49107-8474 Ph: (269) 695-5540 | Roy B Parke D.o. 1045 E Front St Buchanan MI 49107-8474 Ph: (269) 695-5540 |
| NPI Number | 1275687147 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 05/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275687147 | NPI | - | NPPES |
| 0877052 | Other | MI | BCBSM PROVIDER # |
| 0P302600003 | Other | MI | BCBSM |
| 0P30260006 | Other | MI | BCBSM |
| 5111155 | Other | MI | BCBSM PROVIDER # |
| 0A11219 | Other | MI | BCBSM PROVIDER # |
| 5113009 | Other | MI | BCBSM PROVIDER # |
| 2575222 | Medicaid | MI | |
| 5111148 | Other | MI | BCBSM PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101010822 (Michigan) | Primary |
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Lakeland Medical Practices Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1045 E Front St, Suite A, Buchanan, MI 49107 Phone: 269-695-5540 Fax: 269-428-5507 | |
Lakeland Medical Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1045 E Front St, Suite A, Buchanan, MI 49107 Phone: 269-695-5540 Fax: 269-695-0412 |