Organization
CENTRAL MICHIGAN FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BROCK W HORSLEY D.O (OWNER)
(989) 588-6153
Entity
Organization
Contact information
Practice address
522 EAST MAIN STREET, FARWELL, MI 48622
(989) 588-6153
(989) 588-6194
Mailing address
522 EAST MAIN STREET, FARWELL, MI 48622
(989) 588-6153
(989) 588-6194
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101014871
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101842
PHP UNITED HEALTHCARE
MI
01
—
0853701105
BLUE CROSS BLUE SHIELD
MI
01
—
1012731
MCLAREN HEALTH PLAN
MI
05
—
114637450
—
MI
01
—
610677100
US DEPT OF LABOR
—
Enumeration date
07/20/2006
Last updated
12/10/2010
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