Advanced Primary Care Pllc | |
2888 E Long Lake Rd Suite 105 Troy MI 48085-3793 | |
(248) 689-1330 | |
(248) 689-6424 |
Full Name | Advanced Primary Care Pllc |
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Speciality | Family Medicine |
Location | 2888 E Long Lake Rd, Troy, Michigan |
Authorized Official Name and Position | Aleksandar Cvetkovic (PRESIDENT) |
Authorized Official Contact | 2486891330 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Advanced Primary Care Pllc 2888 E Long Lake Rd Suite 105 Troy MI 48085-3793 Ph: (248) 689-1330 | Advanced Primary Care Pllc 2888 E Long Lake Rd Suite 105 Troy MI 48085-3793 Ph: (248) 689-1330 |
NPI Number | 1679728976 |
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Provider Enumeration Date | 12/01/2008 |
Last Update Date | 08/27/2012 |
Medicare PECOS PAC ID | 8921162520 |
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Medicare Enrollment ID | O20090127000110 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679728976 | NPI | - | NPPES |
0636826 | Other | BCBSM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4301068171 (Michigan) | Primary |
Provider Name | Aleksandar Cvetkovic |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851382196 PECOS PAC ID: 9931263530 Enrollment ID: I20090127000103 |
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