| Horizon Family Medicine Pllc | |
|
3041 Commerce Dr Ste B Fort Gratiot MI 48059-3877 | |
| (810) 385-4342 | |
| Not Available |
| Full Name | Horizon Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3041 Commerce Dr Ste B, Fort Gratiot, Michigan |
| Authorized Official Name and Position | Julie A Boutt (SOLE MEMBER) |
| Authorized Official Contact | 8103854342 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Horizon Family Medicine Pllc 6060 Wildrose Ln Burtchville MI 48059-4310 Ph: (810) 385-4342 | Horizon Family Medicine Pllc 3041 Commerce Dr Ste B Fort Gratiot MI 48059-3877 Ph: (810) 385-4342 |
| NPI Number | 1427693761 |
|---|---|
| Provider Enumeration Date | 11/11/2019 |
| Last Update Date | 11/11/2019 |
| Medicare PECOS PAC ID | 9830524941 |
|---|---|
| Medicare Enrollment ID | O20200120000198 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427693761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Julie A Boutt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285749549 PECOS PAC ID: 8224003827 Enrollment ID: I20040827000544 |
| Provider Name | Ashley Glaza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366023681 PECOS PAC ID: 7618386152 Enrollment ID: I20210512002796 |
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