| Mercer Island Family Medicine, Pllc | |
|
3003 Island Crest Way Mercer Island WA 98040-2998 | |
| (586) 850-4645 | |
| Not Available |
| Full Name | Mercer Island Family Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3003 Island Crest Way, Mercer Island, Washington |
| Authorized Official Name and Position | Scott Edward Fannin (PRESIDENT) |
| Authorized Official Contact | 5868504645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercer Island Family Medicine, Pllc 54196 Katherine Wood Dr Macomb MI 48042-2315 Ph: (586) 850-4645 | Mercer Island Family Medicine, Pllc 3003 Island Crest Way Mercer Island WA 98040-2998 Ph: (586) 850-4645 |
| NPI Number | 1194928697 |
|---|---|
| Provider Enumeration Date | 06/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194928697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OP00002196 (Washington) | Primary |
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