MEDICARE: MARY LYNN WATTS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	4301054742	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	700E012740	OTHER	MI	BCBS GROUP NUMBER

General Provider Information

NPI Number	:	1154399186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY LYNN WATTS MD

Provider Business Mailing Address
First Line	:	4260 VAN DYKE RD
Second Line	:	SUITE 101
City	:	ALMONT
State	:	MI
Zip	:	48003-8546
Country	:	US
Telephone Number	:	810-798-3994
Fax Number	:	586-798-8212

Provider Business Practice Location Address
First Line	:	4260 VAN DYKE RD
Second Line	:	SUITE 101
City	:	ALMONT
State	:	MI
Zip	:	48003-8546
Country	:	US
Telephone Number	:	810-798-3994
Fax Number	:	586-798-8212

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2006
Last Update Date	:	02/24/2023

Similar Medicare Providers

1194834689 — RITE AID OF MICHIGAN INC
Practice Location Address:

860 NORTH VAN DYKE ROAD
ALMONT, MI
48003-8502

Practice Phone: 810-798-8501
Practice Fax:

1245342435 — KATHLEEN J WELLS DDS
Practice Location Address:

606 N MAIN
ALMONT, MI
48003

Practice Phone: 810-798-8585
Practice Fax: 810-798-2381

1962502237 — MRS. NATALIE SUZANNE GAIDA DDS
Practice Location Address:

606 N MAIN ST
ALMONT, MI
48003-0465

Practice Phone: 810-798-8585
Practice Fax: 810-798-2381

1528130051 — MCCARROLL PRIMARY CARE
Practice Location Address:

198 N. MAIN ST
ALMONT, MI
48003

Practice Phone: 810-798-6560
Practice Fax:

1780720250 — MR. GERALD JOSEPH KOZAK III MPT
Practice Location Address:

122 S MAIN ST
ALMONT, MI
48003-1066

Practice Phone: 800-974-4378
Practice Fax: 630-515-1536

1932223591 — MR. JAN CORNELIS VANDEREST DDS
Practice Location Address:

106 S MAIN ST
ALMONT, MI
48003-1066

Practice Phone: 810-798-3941
Practice Fax: 810-798-3141

Directions to “ MARY LYNN WATTS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.