Organization
ACCELERATED CARE OF MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND WATTS (PRESIDENT)
(989) 892-7722
Entity
Organization
Contact information
Practice address
1003 WOODSIDE AVE, ESSEXVILLE, MI 48732-1234
(989) 892-7722
(989) 892-7455
Mailing address
6901 OKEECHOBEE BLVD, BOX J17, WEST PALM BEACH, FL 33411-2511
(989) 892-7722
(989) 892-7455
Taxonomy
Speciality
Code
Description
License number
State
156FX1101X
Ophthalmic Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0Z91060
MI BLUE CROSS
MI
Enumeration date
05/18/2007
Last updated
02/28/2008
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