# MT. PLEASANT MEDICAL PRACTICE, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104988252
- **Authorized official:** DR. FARIS PETER ATCHOO DO (TREASURER)
- **Authorized official phone:** (989) 953-5400

## Contact information

- **Practice address:** 314 S BROWN ST, MT PLEASANT, MI 48858-2936
- **Practice address phone:** (989) 953-5400
- **Practice address fax:** (989) 953-5401
- **Mailing address:** 314 S BROWN ST, MT PLEASANT, MI 48858-2936
- **Mailing address phone:** (989) 953-5400
- **Mailing address fax:** (989) 953-5401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | FA011418 | MI | Yes |

## Other

- **Enumeration date:** 12/15/2006
- **Last updated:** 08/22/2020