Organization
STATCARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JULE DO (OWNER/PRESIDENT)
(810) 606-6137
Entity
Organization
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(800) 968-6866
(616) 532-7230
Mailing address
DEPT CH 17767, PALATINE, IL 60055-0001
(800) 968-6866
(616) 532-7230
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH3766
RAILROAD MEDICARE
MI
Enumeration date
06/01/2005
Last updated
01/14/2008
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