| Community Supported Anthroposophical Medicine | |
|
1825 W Stadium Blvd Ann Arbor MI 48103-4501 | |
| (734) 222-1491 | |
| (734) 222-1492 |
| Full Name | Community Supported Anthroposophical Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 1825 W Stadium Blvd, Ann Arbor, Michigan |
| Authorized Official Name and Position | Quentin R Mcmullen (DOCTOR) |
| Authorized Official Contact | 7342221491 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Supported Anthroposophical Medicine 1825 W Stadium Blvd Ann Arbor MI 48103-4501 Ph: (734) 222-1491 | Community Supported Anthroposophical Medicine 1825 W Stadium Blvd Ann Arbor MI 48103-4501 Ph: (734) 222-1491 |
| NPI Number | 1306010673 |
|---|---|
| Provider Enumeration Date | 04/17/2008 |
| Last Update Date | 04/17/2008 |
| Medicare PECOS PAC ID | 8325103476 |
|---|---|
| Medicare Enrollment ID | O20090224000606 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306010673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Molly F Laird Mcmullen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538200050 PECOS PAC ID: 8729179254 Enrollment ID: I20070813000135 |
| Provider Name | Quentin Roy Mcmullen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720129240 PECOS PAC ID: 5294826723 Enrollment ID: I20070813000197 |
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