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1675 Leahy St Suite 324b Muskegon MI 49442-5500 | |
(231) 726-5075 | |
(231) 728-7827 |
Full Name | |
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Speciality | Internal Medicine - Gastroenterology |
Location | 1675 Leahy St, Muskegon, Michigan |
Authorized Official Name and Position | Linda Ellison (MANAGER) |
Authorized Official Contact | 2317281678 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1675 Leahy St Suite 324b Muskegon MI 49442-5500 Ph: (231) 726-5075 | 1675 Leahy St Suite 324b Muskegon MI 49442-5500 Ph: (231) 726-5075 |
NPI Number | 1508960071 |
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Provider Enumeration Date | 09/12/2006 |
Last Update Date | 04/20/2008 |
Identifier | Type | State | Issuer |
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1508960071 | NPI | - | NPPES |
4744440 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Hackley Community Care Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 E Laketon Ave Ste A, Muskegon, MI 49441 Phone: 231-737-1335 | |
Hpcn Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 986 W Norton Ave, Muskegon, MI 49441 Phone: 231-737-2194 Fax: 231-737-4524 | |