Shores Psychiatric Associates, P.c. | |
24001 Greater Mack Ave Suite B Saint Clair Shores MI 48080-1471 | |
(586) 774-5050 | |
(586) 774-1808 |
Full Name | Shores Psychiatric Associates, P.c. |
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Speciality | Psychiatry & Neurology |
Location | 24001 Greater Mack Ave, Saint Clair Shores, Michigan |
Authorized Official Name and Position | Thomas R Mccormick (SECRETARY) |
Authorized Official Contact | 5867745050 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Shores Psychiatric Associates, P.c. 24001 Greater Mack Ave Suite B Saint Clair Shores MI 48080-1471 Ph: (586) 774-5050 | Shores Psychiatric Associates, P.c. 24001 Greater Mack Ave Suite B Saint Clair Shores MI 48080-1471 Ph: (586) 774-5050 |
NPI Number | 1437295789 |
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Provider Enumeration Date | 01/30/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 9032210638 |
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Medicare Enrollment ID | O20070726000536 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437295789 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Desanka Stipic-petrovic |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1174527436 PECOS PAC ID: 0840391447 Enrollment ID: I20101019000879 |
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