Michigan Family Practice, LLC

NPI #1225070998 in Jackson, Michigan

Provider Information

NPI Number
1225070998
Entity Type
Organization
Organization Name
Michigan Family Practice, LLC
Primary Specialty
Family Medicine
Enumeration Date
Jun 10, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
875 LAURENCE AVE
ZIP Code
49202-2966
Phone
(517) 817-0280

Authorized Official

Name
DR. GARY MIKESELL, D.O.
Title
OWNER/PHYSICIAN
Phone
(517) 536-8677

Specialties & Taxonomy Codes

Specialty
Family Medicine

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