| Raina M Ernstoff Md Pllc | |
|
3535 W 13 Mile Rd, Suite 747 Royal Oak MI 48073 | |
| (248) 435-5700 | |
| (248) 435-3128 |
| Full Name | Raina M Ernstoff Md Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3535 W 13 Mile Rd, Suite 747, Royal Oak, Michigan |
| Authorized Official Name and Position | Raina Marcia Ernstoff (PRESIDENT/NEUROLOGIST) |
| Authorized Official Contact | 2484355700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raina M Ernstoff Md Pllc 4555 Private Lake Drive Bloomfield Township MI 48301 Ph: (248) 435-5700 | Raina M Ernstoff Md Pllc 3535 W 13 Mile Rd, Suite 747 Royal Oak MI 48073 Ph: (248) 435-5700 |
| NPI Number | 1649041831 |
|---|---|
| Provider Enumeration Date | 01/16/2024 |
| Last Update Date | 01/16/2024 |
| Medicare PECOS PAC ID | 6709323199 |
|---|---|
| Medicare Enrollment ID | O20240802001933 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649041831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Raina M Ernstoff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346212214 PECOS PAC ID: 9133107865 Enrollment ID: I20071005000684 |
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