| Lakeshore Family Care, Pc | |
|
72 Filer St Manistee MI 49660-2717 | |
| (231) 723-5600 | |
| (231) 723-1048 |
| Full Name | Lakeshore Family Care, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 72 Filer St, Manistee, Michigan |
| Authorized Official Name and Position | Paul Joseph Antal (PRESIDENT) |
| Authorized Official Contact | 2317235600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeshore Family Care, Pc 72 Filer St Manistee MI 49660-2717 Ph: (231) 723-5600 | Lakeshore Family Care, Pc 72 Filer St Manistee MI 49660-2717 Ph: (231) 723-5600 |
| NPI Number | 1356472872 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 10/17/2007 |
| Medicare PECOS PAC ID | 3274516877 |
|---|---|
| Medicare Enrollment ID | O20040612000159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356472872 | NPI | - | NPPES |
| 3353612 | Medicaid | MI | |
| 4612281 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Paul J Antal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295845469 PECOS PAC ID: 3072596683 Enrollment ID: I20040612000191 |
| Provider Name | Jacob R Deboni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578036091 PECOS PAC ID: 7810235488 Enrollment ID: I20190207000516 |
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