| Evolving Perspective | |
|
308 N Main St Plymouth MI 48170-1237 | |
| (734) 255-3439 | |
| Not Available |
| Full Name | Evolving Perspective |
|---|---|
| Speciality | Clinic/Center |
| Location | 308 N Main St, Plymouth, Michigan |
| Authorized Official Name and Position | Nicole Marie Wassel (OWNER) |
| Authorized Official Contact | 7342553439 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolving Perspective 308 N Main St Plymouth MI 48170-1237 Ph: (734) 255-3439 | Evolving Perspective 308 N Main St Plymouth MI 48170-1237 Ph: (734) 255-3439 |
| NPI Number | 1861171175 |
|---|---|
| Provider Enumeration Date | 07/13/2023 |
| Last Update Date | 03/11/2024 |
| Certification Date | 03/01/2024 |
| Medicare PECOS PAC ID | 8123477692 |
|---|---|
| Medicare Enrollment ID | O20231208001737 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861171175 | NPI | - | NPPES |
| Provider Name | Nicole Wassel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437384237 PECOS PAC ID: 8123432085 Enrollment ID: I20210204000987 |
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