Patrice Duquette M.d.p.c. | |
380 N Old Woodward Ave Suite 156 Birmingham MI 48009-5347 | |
(248) 594-7690 | |
(248) 594-7663 |
Full Name | Patrice Duquette M.d.p.c. |
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Speciality | Psychiatry & Neurology |
Location | 380 N Old Woodward Ave, Birmingham, Michigan |
Authorized Official Name and Position | Patrice Duquette (PRESIDENT) |
Authorized Official Contact | 2485947690 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Patrice Duquette M.d.p.c. 25328 Henley Ave Huntington Woods MI 48070-1707 Ph: (248) 594-7690 | Patrice Duquette M.d.p.c. 380 N Old Woodward Ave Suite 156 Birmingham MI 48009-5347 Ph: (248) 594-7690 |
NPI Number | 1215254990 |
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Provider Enumeration Date | 04/21/2010 |
Last Update Date | 04/21/2010 |
Medicare PECOS PAC ID | 0244362341 |
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Medicare Enrollment ID | O20100723000789 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215254990 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 4301054935 (Michigan) | Primary |
Provider Name | Patrice M Duquette |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1346339249 PECOS PAC ID: 8527118777 Enrollment ID: I20090609000315 |
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