PARKSIDE ESTATES
Managed Care Organizations at Coleman Dr, Hickory Isle, MI

License number
Michigan AS820313332
Category
Managed Care Organizations
Type
Health Maintenance Organization
Owner
Name: MR. GREGORY SCOTT RICHARDS
Title: ADMINSTRATOR
Phone: (734) 692-0877
Address
Address 2
28860 Coleman Dr, Hickory Isle, MI 48138
2211 Parkside St, Brownstown Township, MI 48183
National Provider ID: 1669899910
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Other Doctors licenses in Michigan