Ronald J Flack Llc

NPI 1184972465 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1184972465
Enumeration Date 08/17/2012
Last Updated 08/17/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name LAURA LAURA
Position BILLER
Phone (517) 782-8142
Fax (517) 782-0765
Practice Location
762 W MICHIGAN AVE
JACKSON MI, 49201-1978, US
Phone (517) 782-8142
Fax (517) 782-0765
Business Location
762 W MICHIGAN AVE
JACKSON MI, 49201-1978, US
Phone (517) 782-8142
Fax (517) 782-0765
Toxanomy
Taxonomy Code 363LF0000X
License State Michigan
License Number 4704149271
Remove 1184972465 NPI Number
 

According to our database, Ronald J Flack Llc NPI is 1184972465, taxonomy code is 363LF0000X and license number is 4704149271, license state is located at Michigan. Ronald J Flack Llc physically located at 762 W Michigan Ave, Jackson MI, 49201-1978. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1184972465 NPI number is provided on an as is basis without warranty of any kind. 1184972465 is maintained by the National Plan & Provider Enumeration System. The contents of Ronald J Flack Llc are for informational purposes only.