| New Life Medical Senior Care Pc | |
|
105 S Wildwood Xing Apt 20 Ludington MI 49431-8719 | |
| (231) 233-1704 | |
| Not Available |
| Full Name | New Life Medical Senior Care Pc |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 105 S Wildwood Xing Apt 20, Ludington, Michigan |
| Authorized Official Name and Position | Daniel Ray Smalley (PRESIDENT) |
| Authorized Official Contact | 2312331704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Life Medical Senior Care Pc 570 Seminole Rd Suite 200 Norton Shores MI 49444-3749 Ph: (231) 759-5065 | New Life Medical Senior Care Pc 105 S Wildwood Xing Apt 20 Ludington MI 49431-8719 Ph: (231) 233-1704 |
| NPI Number | 1174800411 |
|---|---|
| Provider Enumeration Date | 11/15/2011 |
| Last Update Date | 11/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174800411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 5101009049 (Michigan) | Primary |
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