| Medplus P C | |
|
212 S Main St Brooklyn MI 49230-9114 | |
| (517) 592-5679 | |
| Not Available |
| Full Name | Medplus P C |
|---|---|
| Speciality | General Practice |
| Location | 212 S Main St, Brooklyn, Michigan |
| Authorized Official Name and Position | Gene E Kielhorn (PRESIDENT) |
| Authorized Official Contact | 5175925679 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medplus P C 212 S Main St Brooklyn MI 49230-9114 Ph: (517) 592-5679 | Medplus P C 212 S Main St Brooklyn MI 49230-9114 Ph: (517) 592-5679 |
| NPI Number | 1891817136 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 10/30/2007 |
| Medicare PECOS PAC ID | 2264511476 |
|---|---|
| Medicare Enrollment ID | O20080429000755 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891817136 | NPI | - | NPPES |
| 700C86065 | Other | MI | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Brad E. Kremer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396914230 PECOS PAC ID: 7214123843 Enrollment ID: I20110121000327 |
| Provider Name | Victoria E Hallett |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1235354457 PECOS PAC ID: 3375799588 Enrollment ID: I20120803000148 |
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