Advantage Health Services Plc | |
5400 Fort St Suite 130 Trenton MI 48183-4632 | |
(734) 362-7100 | |
(734) 671-1768 |
Full Name | Advantage Health Services Plc |
---|---|
Speciality | Family Medicine |
Location | 5400 Fort St, Trenton, Michigan |
Authorized Official Name and Position | Anke Robinson (OWNER) |
Authorized Official Contact | 7343627100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Advantage Health Services Plc 5400 Fort St Suite 130 Trenton MI 48183-4632 Ph: (734) 362-7100 | Advantage Health Services Plc 5400 Fort St Suite 130 Trenton MI 48183-4632 Ph: (734) 362-7100 |
NPI Number | 1366851230 |
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Provider Enumeration Date | 08/05/2014 |
Last Update Date | 08/05/2014 |
Medicare PECOS PAC ID | 3476772666 |
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Medicare Enrollment ID | O20140922000474 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366851230 | NPI | - | NPPES |
4301074622 | Other | MI | PHYSICIAN LICENSE |
1093760910 | Other | MI | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4301074622 (Michigan) | Primary |
Provider Name | Anke Ursula Robinson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093760910 PECOS PAC ID: 6507996386 Enrollment ID: I20100605000231 |
Provider Name | Elizabeth A Davis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043704216 PECOS PAC ID: 9436400090 Enrollment ID: I20180920000241 |
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