| Elite Provider Group | |
|
1096 S Belsay Rd Ste C Burton MI 48509-1948 | |
| (810) 743-3351 | |
| Not Available |
| Full Name | Elite Provider Group |
|---|---|
| Speciality | Family Medicine |
| Location | 1096 S Belsay Rd Ste C, Burton, Michigan |
| Authorized Official Name and Position | Randolph Kummler (CEO) |
| Authorized Official Contact | 8104242025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Provider Group 3495 S Center Rd Burton MI 48519-1455 Ph: () - | Elite Provider Group 1096 S Belsay Rd Ste C Burton MI 48509-1948 Ph: (810) 743-3351 |
| NPI Number | 1619864840 |
|---|---|
| Provider Enumeration Date | 06/20/2025 |
| Last Update Date | 06/20/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619864840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Shukairy P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 S Center Rd Bldg B, Burton, MI 48509 Phone: 810-742-0225 Fax: 810-742-7990 | |
Genesys Integrated Group Practice Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3495 S Center Rd, Burton, MI 48519 Phone: 810-424-2007 Fax: 810-232-2266 | |
Elite Provider Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3495 S Center Rd, Burton, MI 48519 Phone: 810-424-2101 | |
Learning Dreams Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1091 Creekwood Trl, Burton, MI 48509 Phone: 810-391-2923 Fax: 810-391-2968 | |
Tommy S. Stevens M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2298 S Center Rd, Burton, MI 48519 Phone: 810-742-2544 Fax: 810-742-2566 | |
M. Haitham Al-midani, Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4050 Walli Strasse Dr, Burton, MI 48509 Phone: 810-743-0680 | |
Dr Mark P Williams Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4067 E Court St # 10-11, Burton, MI 48509 Phone: 810-715-2020 |