Organization
IHS MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS D PLAMONDON PA-C (CEO)
(989) 372-1590
Entity
Organization
Contact information
Practice address
700 BORTON AVE, ESSEXVILLE, MI 48732-3110
(989) 372-1590
(866) 466-9781
Mailing address
700 BORTON AVE, ESSEXVILLE, MI 48732-3110
(989) 372-1590
(866) 466-9781
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
12/01/2022
Last updated
05/30/2024
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