| Meridian Primary Care PC | |
|
2270 Jolly Oak Rd Suite1 Okemos MI 48864-4528 | |
| (517) 349-6140 | |
| (517) 349-6216 |
| Full Name | Meridian Primary Care PC |
|---|---|
| Speciality | Family Medicine |
| Location | 2270 Jolly Oak Rd, Okemos, Michigan |
| Authorized Official Name and Position | Dennis J Perry (OWNER) |
| Authorized Official Contact | 5173496140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meridian Primary Care PC 2270 Jolly Oak Rd Suite 1 Okemos MI 48864-4528 Ph: (517) 349-6140 | Meridian Primary Care PC 2270 Jolly Oak Rd Suite1 Okemos MI 48864-4528 Ph: (517) 349-6140 |
| NPI Number | 1629128418 |
|---|---|
| Provider Enumeration Date | 01/12/2007 |
| Last Update Date | 06/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629128418 | NPI | - | NPPES |
| 4186985 | Medicaid | MI | |
| 4187015 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DP052522 (Michigan) | Primary |
| 207Q00000X | Family Medicine | KC064356 (Michigan) | Secondary |
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