| Donald P. Cousineau Do Pc | |
|
994 N Center Ave Gaylord MI 49735-9375 | |
| (989) 732-7843 | |
| (989) 731-4513 |
| Full Name | Donald P. Cousineau Do Pc |
|---|---|
| Speciality | General Practice |
| Location | 994 N Center Ave, Gaylord, Michigan |
| Authorized Official Name and Position | Donald Paul Cousineau (PHYSICIAN) |
| Authorized Official Contact | 9897327843 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald P. Cousineau Do Pc 994 N Center Ave Gaylord MI 49735-9375 Ph: (989) 732-7843 | Donald P. Cousineau Do Pc 994 N Center Ave Gaylord MI 49735-9375 Ph: (989) 732-7843 |
| NPI Number | 1386645851 |
|---|---|
| Provider Enumeration Date | 08/09/2005 |
| Last Update Date | 03/26/2010 |
| Medicare PECOS PAC ID | 5991791402 |
|---|---|
| Medicare Enrollment ID | O20040421000975 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386645851 | NPI | - | NPPES |
| 1089781 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | DC006878 (Michigan) | Primary |
| Provider Name | Donald P Cousineau |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1841485133 PECOS PAC ID: 1557357076 Enrollment ID: I20040421001125 |
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