| West Branch Family Practice Pc | |
|
611 Court Street West Branch MI 48661-0903 | |
| (989) 516-4317 | |
| (989) 345-5803 |
| Full Name | West Branch Family Practice Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 611 Court Street, West Branch, Michigan |
| Authorized Official Name and Position | John C Urban (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9895164317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Branch Family Practice Pc 959 West M-61 Standish MI 48658-9307 Ph: (989) 516-4317 | West Branch Family Practice Pc 611 Court Street West Branch MI 48661-0903 Ph: (989) 516-4317 |
| NPI Number | 1225270002 |
|---|---|
| Provider Enumeration Date | 03/25/2009 |
| Last Update Date | 03/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225270002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101013179 (Michigan) | Primary |
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