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25639 Ford Rd Dearborn Heights MI 48127-4817 | |
| (313) 277-3293 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 25639 Ford Rd, Dearborn Heights, Michigan |
| Authorized Official Name and Position | Cindy Gaither (VP REVENUE CYCLE MGMT) |
| Authorized Official Contact | 6022488886 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
8444 N 90th St Ste 100 Scottsdale AZ 85258-4437 Ph: (602) 248-8886 | 25639 Ford Rd Dearborn Heights MI 48127-4817 Ph: (313) 277-3293 |
| NPI Number | 1043507502 |
|---|---|
| Provider Enumeration Date | 07/06/2011 |
| Last Update Date | 02/10/2024 |
| Certification Date | 02/10/2024 |
| Medicare PECOS PAC ID | 7012074297 |
|---|---|
| Medicare Enrollment ID | O20200211000278 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043507502 | NPI | - | NPPES |
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