| Harbor Shores Medical, Pllc | |
|
59057 Gratiot Ave New Haven MI 48048-2057 | |
| (810) 404-2521 | |
| (888) 414-4545 |
| Full Name | Harbor Shores Medical, Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 59057 Gratiot Ave, New Haven, Michigan |
| Authorized Official Name and Position | Marcus Kyle Free (OWNER/PRESIDENT) |
| Authorized Official Contact | 8104042521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harbor Shores Medical, Pllc 2143 Derfla Dr Saint Joseph MI 49085-9661 Ph: (810) 404-2521 | Harbor Shores Medical, Pllc 59057 Gratiot Ave New Haven MI 48048-2057 Ph: (810) 404-2521 |
| NPI Number | 1679091540 |
|---|---|
| Provider Enumeration Date | 08/31/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679091540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 4301093347 (Michigan) | Primary |
Community First Health Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 58144 Gratiot Avenue, New Haven, MI 48048 Phone: 586-749-5197 Fax: 586-749-5560 | |
Community First Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 58144 Gratiot Ave, New Haven, MI 48048 Phone: 586-749-5197 |