| Eleanor Medina Md Pc | |
|
60 Balfour Dr Bloomfield Hills MI 48304-2100 | |
| (248) 258-5839 | |
| Not Available |
| Full Name | Eleanor Medina Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 60 Balfour Dr, Bloomfield Hills, Michigan |
| Authorized Official Name and Position | Eleanor Medina (PSYCHIATRIST) |
| Authorized Official Contact | 2482585839 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eleanor Medina Md Pc 60 Balfour Dr Bloomfield Hills MI 48304-2100 Ph: (248) 258-5839 | Eleanor Medina Md Pc 60 Balfour Dr Bloomfield Hills MI 48304-2100 Ph: (248) 258-5839 |
| NPI Number | 1912244310 |
|---|---|
| Provider Enumeration Date | 01/07/2013 |
| Last Update Date | 01/07/2013 |
| Medicare PECOS PAC ID | 4688811284 |
|---|---|
| Medicare Enrollment ID | O20130517000354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912244310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2606304582 (Michigan) | Primary |
| Provider Name | Eleanor M Medina |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588726921 PECOS PAC ID: 6608861828 Enrollment ID: I20040417000177 |
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