Walter Suber Vi, CPRC is a
Peer Specialist based in Detroit, Michigan. Walter Suber Vi is licensed to practice in Michigan (license number ) and his current practice location is
1121 E Mcnichols Rd, Detroit, Michigan. He can be reached at his office (for appointments etc.) via phone at
(313) 365-3100.
NPI number for Walter Suber Vi is 1710346572 and his current mailing address is 707 W Milwaukee St, Detroit, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710346572.
Healthcare Provider's Profile
| Full Name | Walter Suber Vi |
|---|
| Gender | Male |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 1121 E Mcnichols Rd, Detroit, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1710346572
- Provider Enumeration Date: 02/22/2016
- Last Update Date: 06/26/2023
Medical Identifiers
Medical identifiers for Walter Suber Vi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710346572 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Walter Suber Vi is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Walter Suber Vi, CPRC
707 W Milwaukee St,
Detroit, MI 48202-2943
Ph: (313) 344-9099 | Walter Suber Vi, CPRC
1121 E Mcnichols Rd,
Detroit, MI 48203-2857
Ph: (313) 365-3100 |
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