Organization
QUICK CARE FAMILY MEDICAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUSTAV J LO M.D. (MEDICAL DIRECTOR)
(231) 348-2828
Entity
Organization
Contact information
Practice address
116 W MITCHELL ST, PETOSKEY, MI 49770-2324
(231) 348-2828
(231) 348-9609
Mailing address
116 W MITCHELL ST, PETOSKEY, MI 49770-2324
(231) 348-2828
(231) 348-9609
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
GL053321
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5176052
—
MI
Enumeration date
02/05/2008
Last updated
12/14/2010
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