| Litchfield Family Medicine Pc | |
|
413 N Chicago St Litchfield MI 49252-9792 | |
| (517) 542-3217 | |
| (517) 542-3490 |
| Full Name | Litchfield Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 413 N Chicago St, Litchfield, Michigan |
| Authorized Official Name and Position | Troy Davis (OWNER) |
| Authorized Official Contact | 5175423217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Litchfield Family Medicine Pc 413 N Chicago St Litchfield MI 49252-9792 Ph: (517) 542-3217 | Litchfield Family Medicine Pc 413 N Chicago St Litchfield MI 49252-9792 Ph: (517) 542-3217 |
| NPI Number | 1578670113 |
|---|---|
| Provider Enumeration Date | 08/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578670113 | NPI | - | NPPES |
| 0853000095 | Other | MI | BCBS |
| 4125694 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101013336 (Michigan) | Primary |
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