| Crooked Tree Wellness Clinic | |
|
2390 Mitchell Park Dr Ste D Petoskey MI 49770-8965 | |
| (231) 242-1760 | |
| Not Available |
| Full Name | Crooked Tree Wellness Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 2390 Mitchell Park Dr Ste D, Petoskey, Michigan |
| Authorized Official Name and Position | Sandra Ruth Dubois (MEDICAL BILLING SPECIALIST) |
| Authorized Official Contact | 2318780419 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crooked Tree Wellness Clinic 1260 Ajijaak Ave Petoskey MI 49770-8330 Ph: (231) 878-0419 | Crooked Tree Wellness Clinic 2390 Mitchell Park Dr Ste D Petoskey MI 49770-8965 Ph: (231) 242-1760 |
| NPI Number | 1871272583 |
|---|---|
| Provider Enumeration Date | 07/12/2023 |
| Last Update Date | 07/19/2023 |
| Medicare PECOS PAC ID | 8820995368 |
|---|---|
| Medicare Enrollment ID | O20230208000810 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871272583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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