Organization
MICHIGAN ELDERCARE, INC.
Active
Other names
Mobile Doctors of Northwest Michigan
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY ROBERT KNIGHT (PRESIDENT)
(231) 938-5983
Entity
Organization
Contact information
Practice address
6100 US 31 NORTH, WILLIAMSBURG, MI 49690
(231) 938-5983
(231) 938-7019
Mailing address
PO BOX 515, ACME, MI 49610-0515
(231) 938-5983
(231) 938-7019
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5845760
—
MI
Enumeration date
12/28/2006
Last updated
08/13/2007
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