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1225070998
MICHIGAN FAMILY PRACTICE, LLC
JACKSON, MI
NPI
1225070998
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Entity Type
Organization
Authorized Contact
GARY MIKESELL
Owner/Physician
517-536-8677
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2006-06-10
Last Update Date
2020-08-22
Business Address
MICHIGAN FAMILY PRACTICE, LLC
875 LAURENCE AVE
JACKSON, MI 49202-2966
Phone number: 517-817-0280
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Mailing Address
MICHIGAN FAMILY PRACTICE, LLC
PO BOX 739
NAPOLEON, MI 49261-0739
Phone number: 517-536-8677
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