| Kalkaska Family Practice Pc | |
|
419 S Coral St Kalkaska MI 49646-2500 | |
| (231) 258-7777 | |
| Not Available |
| Full Name | Kalkaska Family Practice Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 419 S Coral St, Kalkaska, Michigan |
| Authorized Official Name and Position | Doreen M Birgy (PRACTICE MGR) |
| Authorized Official Contact | 2312587570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kalkaska Family Practice Pc 419 S Coral St Kalkaska MI 49646-2500 Ph: (231) 258-7777 | Kalkaska Family Practice Pc 419 S Coral St Kalkaska MI 49646-2500 Ph: (231) 258-7777 |
| NPI Number | 1962438556 |
|---|---|
| Provider Enumeration Date | 06/24/2006 |
| Last Update Date | 01/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962438556 | NPI | - | NPPES |
| 1962438556 | Medicaid | MI | |
| 080Z56005 | Other | MI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Kalkaska Memorial Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 419 S Coral St, Kalkaska, MI 49646 Phone: 231-258-7500 Fax: 231-258-7527 |