| Flagship Functional Medicine LLC | |
|
2501 Palermo Dr Ste A Erie PA 16506-7210 | |
| (814) 835-5054 | |
| Not Available |
| Full Name | Flagship Functional Medicine LLC |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2501 Palermo Dr Ste A, Erie, Pennsylvania |
| Authorized Official Name and Position | Jeremiah Schreiber (DC) |
| Authorized Official Contact | 8148355054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Flagship Functional Medicine LLC 2501 Palermo Dr Ste A Erie PA 16506-7210 Ph: (814) 835-5054 | Flagship Functional Medicine LLC 2501 Palermo Dr Ste A Erie PA 16506-7210 Ph: (814) 835-5054 |
| NPI Number | 1952918104 |
|---|---|
| Provider Enumeration Date | 09/30/2020 |
| Last Update Date | 03/04/2021 |
| Certification Date | 03/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952918104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
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