| Colleen Bertani Pc | |
|
8906 Commerce Rd Ste 1 Commerce Twp MI 48382-4484 | |
| (248) 325-8632 | |
| Not Available |
| Full Name | Colleen Bertani Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8906 Commerce Rd Ste 1, Commerce Twp, Michigan |
| Authorized Official Name and Position | Colleen Bertani (OWNER) |
| Authorized Official Contact | 2489213433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Colleen Bertani Pc 11215 Lakehaven Dr White Lake MI 48386-3647 Ph: (248) 921-3433 | Colleen Bertani Pc 8906 Commerce Rd Ste 1 Commerce Twp MI 48382-4484 Ph: (248) 325-8632 |
| NPI Number | 1063908572 |
|---|---|
| Provider Enumeration Date | 07/09/2018 |
| Last Update Date | 07/09/2018 |
| Medicare PECOS PAC ID | 9234481631 |
|---|---|
| Medicare Enrollment ID | O20181012001915 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063908572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 6801080362 (Michigan) | Primary |
| Provider Name | Colleen Bertani |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487746210 PECOS PAC ID: 2860744265 Enrollment ID: I20181012002028 |
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