Unknown Individual – Internal Medicine Physician, NPI 1417023177
Internal Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
683, East Chicago Road, Coldwater Township, Branch County, Michigan, 49036, United States
COLDWATER, MI 49036
Phone: (517) 278-8231
Fax: (517) 279-7650
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49036)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | MI | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 490 | 370 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | KY | |
| Family Practice | MI | |
| Nurse Practitioner | MI | |
| Mental Health Counselor, Nurse Practitioner | IN | |
| Psychiatry, Internal Medicine | MI | |
| Internal Medicine | MI | |
| Internal Medicine | MI | |
| Certified Registered Nurse Anesthetist (Crna) | VA | |
| Family Practice | MI | |
| P O D I A T R Y | MI |
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