Healthcare Provider Details

I. General information

NPI: 1902841208
Provider Name (Legal Business Name): HILLSDALE MEDICAL ASSOCIATES, PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 01/06/2020
Certification Date: 01/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1456 HUDSON RD
HILLSDALE MI
49242-8314
US

IV. Provider business mailing address

1456 HUDSON RD
HILLSDALE MI
49242-8314
US

V. Phone/Fax

Practice location:
  • Phone: 517-439-0200
  • Fax: 517-439-1050
Mailing address:
  • Phone: 517-439-0200
  • Fax: 517-439-1050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DAN E MCCANCE
Title or Position: OWNER
Credential: D.O.
Phone: 517-439-0200