| Therapeutics, Llc | |
|
1010 E West Maple Rd Ste 200 Walled Lake MI 48390-3571 | |
| (248) 970-1602 | |
| (734) 384-3222 |
| Full Name | Therapeutics, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1010 E West Maple Rd Ste 200, Walled Lake, Michigan |
| Authorized Official Name and Position | Deidre Vian Goldsmith (PROGRAM DIRECTOR) |
| Authorized Official Contact | 2485256832 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutics, Llc 1010 E West Maple Rd Ste 200 Walled Lake MI 48390-3571 Ph: (248) 970-1602 | Therapeutics, Llc 1010 E West Maple Rd Ste 200 Walled Lake MI 48390-3571 Ph: (248) 970-1602 |
| NPI Number | 1902284193 |
|---|---|
| Provider Enumeration Date | 05/08/2015 |
| Last Update Date | 04/29/2024 |
| Certification Date | 04/29/2024 |
| Medicare PECOS PAC ID | 7618399098 |
|---|---|
| Medicare Enrollment ID | O20200612002446 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902284193 | NPI | - | NPPES |
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