| John A. Vollmer, Md, Pc | |
|
25250 Kelly Rd Roseville MI 48066-4473 | |
| (586) 777-4668 | |
| (586) 777-4452 |
| Full Name | John A. Vollmer, Md, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 25250 Kelly Rd, Roseville, Michigan |
| Authorized Official Name and Position | John Anthony Vollmer (OWNER) |
| Authorized Official Contact | 5867774668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John A. Vollmer, Md, Pc 25250 Kelly Rd Roseville MI 48066-4473 Ph: (586) 777-4668 | John A. Vollmer, Md, Pc 25250 Kelly Rd Roseville MI 48066-4473 Ph: (586) 777-4668 |
| NPI Number | 1790965838 |
|---|---|
| Provider Enumeration Date | 11/06/2007 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790965838 | NPI | - | NPPES |
| 0805016351 | Other | MI | BLUE CROSS BLUE SHIELD |
| JV046289 | Other | MI | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | JV046289 (Michigan) | Primary |
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