| Proactive Md Mi Pllc | |
| 
					164 Mclean Bruce Twp MI 48065-4919  | |
| (864) 501-0751 | |
| Not Available | 
| Full Name | Proactive Md Mi Pllc | 
|---|---|
| Speciality | Clinic/center - Primary Care | 
| Location | 164 Mclean, Bruce Twp, Michigan | 
| Authorized Official Name and Position | Daria Jones (OPERATIONS PROJECT COORDINATOR) | 
| Authorized Official Contact | 8645010751 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Proactive Md Mi Pllc 124 Allawood Ct Simpsonville SC 29681-6207 Ph: (864) 501-0751  | Proactive Md Mi Pllc 164 Mclean Bruce Twp MI 48065-4919 Ph: (864) 501-0751  | 
| NPI Number | 1255106498 | 
|---|---|
| Provider Enumeration Date | 11/17/2023 | 
| Last Update Date | 12/22/2023 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1255106498 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary | 
James L. Ziobron Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 71441 Van Dyke Rd, Bruce Twp, MI 48065 Phone: 586-336-3700 Fax: 586-336-9443  |