Provemont Family Care, PLC
Provemont Family Care, PLC is a Primary Care Clinic/Center in Lake Leelanau, Michigan. Licensed in Michigan. Registered with an NPI since 2007.
- Licensed in
- MI
- In the registry since
- 2007
Practice location Address checks out
49 N Eagle HwyLake Leelanau, MI 49653-9778
Phone: (231) 256-0606
Fax: (231) 256-0671
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence 5101016681 (MI) |
|---|
Record details
| NPI number | 1013109214 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dona Alba — President · (231) 256-0606 |
| NPI enumerated | August 13, 2007 |
| Last updated in NPPES | August 13, 2007 |
| Mailing address | Po Box 180, Lake Leelanau, MI 49653-0180 |