| Red Cedar Family Care, Pllc | |
|
1288 W Grand River Rd Williamston MI 48895-9374 | |
| (517) 655-7300 | |
| (517) 655-7333 |
| Full Name | Red Cedar Family Care, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1288 W Grand River Rd, Williamston, Michigan |
| Authorized Official Name and Position | Keith G Nelson (PHYSICIAN) |
| Authorized Official Contact | 5176557300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Cedar Family Care, Pllc 1288 W Grand River Rd Williamston MI 48895-9374 Ph: (517) 655-7300 | Red Cedar Family Care, Pllc 1288 W Grand River Rd Williamston MI 48895-9374 Ph: (517) 655-7300 |
| NPI Number | 1770696080 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770696080 | NPI | - | NPPES |
| 0100197 | Other | MI | PHP FOR NELSON |
| 5330084 | Other | MI | BCN FOR NELSON |
| 4756773 | Medicaid | MI | |
| 5330007 | Other | MI | BCN FOR BOLLMAN |
| 0100352 | Other | MI | PHP FOR BOLLMAN |
| 4756782 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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