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197 Division St Bronson MI 49028-1213 | |
(517) 369-2506 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 197 Division St, Bronson, Michigan |
Authorized Official Name and Position | Randall Degroot (PRESIDENT/CEO) |
Authorized Official Contact | 5272795489 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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197 Division St Bronson MI 49028-1213 Ph: (517) 369-2506 | 197 Division St Bronson MI 49028-1213 Ph: (517) 369-2506 |
NPI Number | 1467826206 |
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Provider Enumeration Date | 11/17/2015 |
Last Update Date | 11/17/2015 |
Identifier | Type | State | Issuer |
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1467826206 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Care 1 Of Bronson Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 735 E Chicago Rd, Bronson, MI 49028 Phone: 517-858-1400 Fax: 517-858-1403 |