| Rssk, Plc | |
|
3268 Lake St Arcadia MI 49613 | |
| (231) 889-7030 | |
| (231) 889-7032 |
| Full Name | Rssk, Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 3268 Lake St, Arcadia, Michigan |
| Authorized Official Name and Position | Joel Anhalt (PRESIDENT) |
| Authorized Official Contact | 2318897030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rssk, Plc Po Box 337 Arcadia MI 49613 Ph: (231) 889-7030 | Rssk, Plc 3268 Lake St Arcadia MI 49613 Ph: (231) 889-7030 |
| NPI Number | 1679997241 |
|---|---|
| Provider Enumeration Date | 02/18/2014 |
| Last Update Date | 02/18/2014 |
| Medicare PECOS PAC ID | 1153554712 |
|---|---|
| Medicare Enrollment ID | O20140506000766 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679997241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Joel E Anhalt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073623252 PECOS PAC ID: 4880668599 Enrollment ID: I20040819001149 |
Lakeshore Family Care, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3278 Lake St, Arcadia, MI 49613 Phone: 231-889-7030 Fax: 231-889-7032 |