| Internal Medicine Clinic Pllc | |
|
105 Arbor Ln Alpena MI 49707-1301 | |
| (989) 356-3485 | |
| (989) 356-6396 |
| Full Name | Internal Medicine Clinic Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 105 Arbor Ln, Alpena, Michigan |
| Authorized Official Name and Position | Kristen Metzke (BILLING MANAGER) |
| Authorized Official Contact | 9893563485 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Clinic Pllc 105 Arbor Ln Alpena MI 49707-1301 Ph: (989) 356-3485 | Internal Medicine Clinic Pllc 105 Arbor Ln Alpena MI 49707-1301 Ph: (989) 356-3485 |
| NPI Number | 1124011127 |
|---|---|
| Provider Enumeration Date | 08/24/2005 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1557347267 |
|---|---|
| Medicare Enrollment ID | O20040624001321 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124011127 | NPI | - | NPPES |
| Provider Name | Stephen Clovis Sheridan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821020009 PECOS PAC ID: 2264450675 Enrollment ID: I20051103001115 |
| Provider Name | Jessica M Ludlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861109076 PECOS PAC ID: 4385014919 Enrollment ID: I20230112002115 |
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