| Physician Healthcare Network, Pc | |
|
3350 Gratiot Blvd Marysville MI 48040-2121 | |
| (810) 364-4000 | |
| (810) 364-5995 |
| Full Name | Physician Healthcare Network, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3350 Gratiot Blvd, Marysville, Michigan |
| Authorized Official Name and Position | Mimma Cusumano (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 8103858081 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Healthcare Network, Pc 3050 Commerce Dr Billing And Administration Fort Gratiot MI 48059-3819 Ph: (810) 385-4441 | Physician Healthcare Network, Pc 3350 Gratiot Blvd Marysville MI 48040-2121 Ph: (810) 364-4000 |
| NPI Number | 1750334405 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 02/25/2026 |
| Medicare PECOS PAC ID | 3476456252 |
|---|---|
| Medicare Enrollment ID | O20040129000586 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750334405 | NPI | - | NPPES |
| 1750334405 | Medicaid | MI |
| Provider Name | Christopher John Borgiel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316914245 PECOS PAC ID: 2567366297 Enrollment ID: I20031124000393 |
| Provider Name | Michele Lynn Raymond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689641557 PECOS PAC ID: 0345215745 Enrollment ID: I20040830000534 |
| Provider Name | Pietro Cavataio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134195258 PECOS PAC ID: 8224089040 Enrollment ID: I20050209000102 |
| Provider Name | Farrukh Zaman Naqvi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053399642 PECOS PAC ID: 1557383346 Enrollment ID: I20051221000216 |
| Provider Name | Antonino Guiseppe Colombo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598867491 PECOS PAC ID: 0941207070 Enrollment ID: I20061101000559 |
| Provider Name | John Domenico Colombo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720158579 PECOS PAC ID: 9032213848 Enrollment ID: I20070404000396 |
| Provider Name | Daniel C Souphis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225004252 PECOS PAC ID: 3173664406 Enrollment ID: I20100108000872 |
| Provider Name | Igor Nedic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316913304 PECOS PAC ID: 5799688586 Enrollment ID: I20100128000174 |
| Provider Name | Kavita Tumma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871569095 PECOS PAC ID: 1153458484 Enrollment ID: I20100419000638 |
| Provider Name | April M Peacock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952738304 PECOS PAC ID: 1759519226 Enrollment ID: I20140107000826 |
| Provider Name | Jessica A Onufrak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326474248 PECOS PAC ID: 0941438980 Enrollment ID: I20140120000739 |
| Provider Name | Michelle Lynn Schweiger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801211990 PECOS PAC ID: 1052543477 Enrollment ID: I20140416001782 |
| Provider Name | Beverlie N Houser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003204660 PECOS PAC ID: 8921324617 Enrollment ID: I20150223001154 |
| Provider Name | Geri Lynn Grossi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992125223 PECOS PAC ID: 3476867698 Enrollment ID: I20150731017040 |
| Provider Name | Shannon Lacovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780121145 PECOS PAC ID: 4587946447 Enrollment ID: I20170130000550 |
| Provider Name | Katherine Holdwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912400136 PECOS PAC ID: 0042572711 Enrollment ID: I20180315002143 |
| Provider Name | Christine M Robinet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679040844 PECOS PAC ID: 6002156395 Enrollment ID: I20190325000397 |
| Provider Name | Kyle A Nedic |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538519988 PECOS PAC ID: 1850625260 Enrollment ID: I20190618003303 |
| Provider Name | Danielle Marie Sabala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508412909 PECOS PAC ID: 8820327794 Enrollment ID: I20190903002002 |
| Provider Name | Raji S George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831758689 PECOS PAC ID: 8820422413 Enrollment ID: I20200108000512 |
| Provider Name | Toni R Riske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851908644 PECOS PAC ID: 2567876501 Enrollment ID: I20210202002429 |
| Provider Name | Sara D Thueme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649885872 PECOS PAC ID: 5193121770 Enrollment ID: I20210907002251 |
| Provider Name | Alisha Rose Welsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184398810 PECOS PAC ID: 9032515580 Enrollment ID: I20210908002187 |
| Provider Name | Lauren Lee Gauthier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558025635 PECOS PAC ID: 0143611038 Enrollment ID: I20220104001038 |
| Provider Name | Jenny Gayle Yestrepsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447962113 PECOS PAC ID: 3173993110 Enrollment ID: I20230107000134 |
| Provider Name | Tara Fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902474778 PECOS PAC ID: 1759746472 Enrollment ID: I20230503000747 |
| Provider Name | Maison Eliza Freeman Burr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033953773 PECOS PAC ID: 0042757924 Enrollment ID: I20240809000552 |
Whole Life Chiropractic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1168 Gratiot Blvd, Marysville, MI 48040 Phone: 810-388-9199 Fax: 810-388-9176 |