Provemont Family Care, Plc
NPI #1013109214 in Lake Leelanau, Michigan
Provider Information
- NPI Number
- 1013109214
- Entity Type
- Organization
- Organization Name
- Provemont Family Care, Plc
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Aug 13, 2007
- Last Updated
- Aug 13, 2007
Practice Location
- Address
- 49 N EAGLE HWY
- City
- Lake Leelanau
- State
- Michigan
- ZIP Code
- 49653-9778
- Phone
- (231) 256-0606
Authorized Official
- Name
- DR. DONA D. ALBA, DO
- Title
- PRESIDENT
- Phone
- (231) 256-0606
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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