| North Wilton Health Pllc | |
|
1101 S Scott Rd Saint Johns MI 48879-8044 | |
| (989) 224-8936 | |
| Not Available |
| Full Name | North Wilton Health Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1101 S Scott Rd, Saint Johns, Michigan |
| Authorized Official Name and Position | Jacob Michael Monestersky (OWNER) |
| Authorized Official Contact | 9896402788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Wilton Health Pllc 4425 N Airport Rd Saint Johns MI 48879-9780 Ph: (989) 640-2788 | North Wilton Health Pllc 1101 S Scott Rd Saint Johns MI 48879-8044 Ph: (989) 224-8936 |
| NPI Number | 1053120022 |
|---|---|
| Provider Enumeration Date | 01/04/2025 |
| Last Update Date | 01/04/2025 |
| Medicare PECOS PAC ID | 3577083948 |
|---|---|
| Medicare Enrollment ID | O20250228001399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053120022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jacob M Monestersky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740804632 PECOS PAC ID: 4880017821 Enrollment ID: I20230615000725 |
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