Organization
ALLEGAN MEDICAL CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY MCDANIEL (PRACTICE ADMINISTRATOR)
(269) 686-5888
Entity
Organization
Contact information
Practice address
551 LINN ST, ALLEGAN, MI 49010-1595
(269) 686-5800
(269) 686-5896
Mailing address
551 LINN ST, ALLEGAN, MI 49010-1595
(269) 686-5800
(269) 686-5896
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0Z36002
BCBS MI GROUP #
MI
01
—
G00149
BCN GROUP #
MI
Enumeration date
10/31/2005
Last updated
08/14/2007
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