| Marathon Medical Clinic, P.c. | |
|
4526 Pine St Columbiaville MI 48421-8920 | |
| (810) 793-7550 | |
| (810) 793-7962 |
| Full Name | Marathon Medical Clinic, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4526 Pine St, Columbiaville, Michigan |
| Authorized Official Name and Position | Abner J Espinosa (PRESIDENT) |
| Authorized Official Contact | 8107937550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marathon Medical Clinic, P.c. Po Box 7 Columbiaville MI 48421-0007 Ph: (810) 793-7550 | Marathon Medical Clinic, P.c. 4526 Pine St Columbiaville MI 48421-8920 Ph: (810) 793-7550 |
| NPI Number | 1669772505 |
|---|---|
| Provider Enumeration Date | 10/26/2010 |
| Last Update Date | 10/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669772505 | NPI | - | NPPES |
| 2097133 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301039120 (Michigan) | Primary |