| Mracek Family & Internal Medicine Clinic Pc | |
|
807 Jackson Trace Rd Wetumpka AL 36092-1504 | |
| (334) 567-3150 | |
| (334) 567-3152 |
| Full Name | Mracek Family & Internal Medicine Clinic Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 807 Jackson Trace Rd, Wetumpka, Alabama |
| Authorized Official Name and Position | James F Mracek (OWNER) |
| Authorized Official Contact | 3345673150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mracek Family & Internal Medicine Clinic Pc 807 Jackson Trace Rd Wetumpka AL 36092-1504 Ph: (334) 567-3150 | Mracek Family & Internal Medicine Clinic Pc 807 Jackson Trace Rd Wetumpka AL 36092-1504 Ph: (334) 567-3150 |
| NPI Number | 1265908347 |
|---|---|
| Provider Enumeration Date | 10/16/2018 |
| Last Update Date | 10/16/2018 |
| Medicare PECOS PAC ID | 1850638370 |
|---|---|
| Medicare Enrollment ID | O20190122003227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265908347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | James F Mracek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588720452 PECOS PAC ID: 1951207257 Enrollment ID: I20031209000181 |
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