| Jonathan P Wulff, D.o., Pc | |
|
1501 Kyle St Eaton Rapids MI 48827-8908 | |
| (517) 663-4800 | |
| (517) 663-5650 |
| Full Name | Jonathan P Wulff, D.o., Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1501 Kyle St, Eaton Rapids, Michigan |
| Authorized Official Name and Position | Jonathan P Wulff (OWNER) |
| Authorized Official Contact | 5176634800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan P Wulff, D.o., Pc Po Box 269 Eaton Rapids MI 48827-0269 Ph: (517) 663-4800 | Jonathan P Wulff, D.o., Pc 1501 Kyle St Eaton Rapids MI 48827-8908 Ph: (517) 663-4800 |
| NPI Number | 1386810356 |
|---|---|
| Provider Enumeration Date | 04/30/2008 |
| Last Update Date | 04/30/2008 |
| Medicare PECOS PAC ID | 7012088867 |
|---|---|
| Medicare Enrollment ID | O20080620000670 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386810356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jonathan P Wulff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417913104 PECOS PAC ID: 6103713672 Enrollment ID: I20080620000666 |
| Provider Name | Pamela Becker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255714531 PECOS PAC ID: 6204143332 Enrollment ID: I20150922001132 |
| Provider Name | Amy E J Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891207379 PECOS PAC ID: 6709142722 Enrollment ID: I20171108000877 |
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Sandy Transitions Mht Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2285 S Michigan Rd, Eaton Rapids, MI 48827 Phone: 844-633-4663 Fax: 877-489-3949 | |
Paul D Hankenson Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 Kyle Street, Eaton Rapids, MI 48827 Phone: 517-663-3344 Fax: 517-663-1703 | |
Thomas A. Kelly D.o. P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 E Spicerville Hwy, Eaton Rapids, MI 48827 Phone: 517-663-2705 Fax: 517-663-9470 |