| Robert Bouvier MD, PLC | |
|
12741 S Saginaw Street Ste 402 Grand Blanc MI 48439 | |
| (810) 694-7412 | |
| Not Available |
| Full Name | Robert Bouvier MD, PLC |
|---|---|
| Speciality | Family Medicine |
| Location | 12741 S Saginaw Street, Grand Blanc, Michigan |
| Authorized Official Name and Position | Tina Wrinkle (MANAGER) |
| Authorized Official Contact | 8106947412 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Bouvier MD, PLC 12741 S Saginaw Street Ste 402 Grand Blanc MI 48439 | Robert Bouvier MD, PLC 12741 S Saginaw Street Ste 402 Grand Blanc MI 48439 Ph: (810) 694-7412 |
| NPI Number | 1700049616 |
|---|---|
| Provider Enumeration Date | 07/10/2008 |
| Last Update Date | 07/10/2008 |
| Medicare PECOS PAC ID | 0042385163 |
|---|---|
| Medicare Enrollment ID | O20080823000092 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700049616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301048801 (Michigan) | Primary |
| Provider Name | Lynn R Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699765685 PECOS PAC ID: 4688606544 Enrollment ID: I20050831000682 |
| Provider Name | Robert M Bouvier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124011291 PECOS PAC ID: 7113811308 Enrollment ID: I20080823000087 |
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