| Carol Y Wyse Do Plc | |
|
6012 Linden Rd Suite 14 Swartz Creek MI 48473-8890 | |
| (810) 655-5900 | |
| (810) 655-5915 |
| Full Name | Carol Y Wyse Do Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 6012 Linden Rd, Swartz Creek, Michigan |
| Authorized Official Name and Position | Carol Y Wyse (PRESIDENT) |
| Authorized Official Contact | 8106555900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carol Y Wyse Do Plc Po Box 320945 Flint MI 48532-0017 Ph: (810) 655-5900 | Carol Y Wyse Do Plc 6012 Linden Rd Suite 14 Swartz Creek MI 48473-8890 Ph: (810) 655-5900 |
| NPI Number | 1467528315 |
|---|---|
| Provider Enumeration Date | 11/24/2006 |
| Last Update Date | 11/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467528315 | NPI | - | NPPES |
| 5250325 | Other | BCBS | |
| 080139268 | Other | RR MEDICARE | |
| 4079297 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | CW007869 (Michigan) | Primary |
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