| Abelardo G Contreras Md Pc | |
|
29135 Ryan Road Suite B Warren MI 48092-4279 | |
| (586) 558-5666 | |
| (586) 558-9333 |
| Full Name | Abelardo G Contreras Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 29135 Ryan Road, Warren, Michigan |
| Authorized Official Name and Position | Abelardo G Contreras (PRESIDENT) |
| Authorized Official Contact | 2486897100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abelardo G Contreras Md Pc P.o. Box 252375 West Bloomfield MI 48325-2375 Ph: (586) 558-5666 | Abelardo G Contreras Md Pc 29135 Ryan Road Suite B Warren MI 48092-4279 Ph: (586) 558-5666 |
| NPI Number | 1417115809 |
|---|---|
| Provider Enumeration Date | 06/02/2008 |
| Last Update Date | 11/07/2012 |
| Medicare PECOS PAC ID | 8325200207 |
|---|---|
| Medicare Enrollment ID | O20120510000578 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417115809 | NPI | - | NPPES |
| 1430383 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | AC038584 (Michigan) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 4301038584 (* (Not Available)) | Primary |
| Provider Name | Abelardo G Contreras |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619007168 PECOS PAC ID: 2860654084 Enrollment ID: I20120504000580 |
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