| Physician Support Service, Inc. | |
|
11615 Hartel Rd Suite 206 Grand Ledge MI 48837-9165 | |
| (517) 627-2181 | |
| (517) 622-1242 |
| Full Name | Physician Support Service, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 11615 Hartel Rd, Grand Ledge, Michigan |
| Authorized Official Name and Position | David J Smith (PRESIDENT) |
| Authorized Official Contact | 5176272181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Support Service, Inc. 11615 Hartel Rd Suite 206 Grand Ledge MI 48837-9165 Ph: (517) 627-2181 | Physician Support Service, Inc. 11615 Hartel Rd Suite 206 Grand Ledge MI 48837-9165 Ph: (517) 627-2181 |
| NPI Number | 1043501935 |
|---|---|
| Provider Enumeration Date | 04/26/2011 |
| Last Update Date | 04/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043501935 | NPI | - | NPPES |
| 0802363691 | Other | MI | BCBSM PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 4301030055 (Michigan) | Primary |
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