| Wave Medical Center Pllc | |
|
17600 W Warren Ave Detroit MI 48228-3509 | |
| (313) 903-3338 | |
| Not Available |
| Full Name | Wave Medical Center Pllc |
|---|---|
| Speciality | Occupational Therapist |
| Location | 17600 W Warren Ave, Detroit, Michigan |
| Authorized Official Name and Position | Nergis Jassim (ADMIN) |
| Authorized Official Contact | 3139033338 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wave Medical Center Pllc 21103 Fairview Dr Dearborn Heights MI 48127-2686 Ph: (313) 903-3338 | Wave Medical Center Pllc 17600 W Warren Ave Detroit MI 48228-3509 Ph: (313) 903-3338 |
| NPI Number | 1396401543 |
|---|---|
| Provider Enumeration Date | 11/11/2021 |
| Last Update Date | 11/13/2021 |
| Certification Date | 11/13/2021 |
| Medicare PECOS PAC ID | 7214320472 |
|---|---|
| Medicare Enrollment ID | O20220210001756 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396401543 | NPI | - | NPPES |
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