| Mymichigan Primary Care Cedarville | |
|
391 E M 134 Cedarville MI 49719-9451 | |
| (906) 484-2614 | |
| Not Available |
| Full Name | Mymichigan Primary Care Cedarville |
|---|---|
| Speciality | Clinic/Center |
| Location | 391 E M 134, Cedarville, Michigan |
| Authorized Official Name and Position | Kevin R Kalchik (CFO) |
| Authorized Official Contact | 9066354456 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mymichigan Primary Care Cedarville 500 Osborn Blvd Sault Sainte Marie MI 49783-1822 Ph: (906) 635-4460 | Mymichigan Primary Care Cedarville 391 E M 134 Cedarville MI 49719-9451 Ph: (906) 484-2614 |
| NPI Number | 1710592050 |
|---|---|
| Provider Enumeration Date | 09/14/2020 |
| Last Update Date | 01/08/2024 |
| Medicare PECOS PAC ID | 7315936481 |
|---|---|
| Medicare Enrollment ID | O20201028002030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710592050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Blake M Slater D O P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 391 East Highway M-134, Pob 630, Cedarville, MI 49719 Phone: 906-484-2295 Fax: 906-484-2614 |