| Allen Park Family Physicians Plc | |
|
7445 Allen Rd Ste 210 Allen Park MI 48101-1995 | |
| (313) 525-4252 | |
| Not Available |
| Full Name | Allen Park Family Physicians Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 7445 Allen Rd Ste 210, Allen Park, Michigan |
| Authorized Official Name and Position | Kimberly Goutimy (OFFICE MANAGER) |
| Authorized Official Contact | 3135254252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allen Park Family Physicians Plc 16 Kreger Dr Wyandotte MI 48192-6259 Ph: () - | Allen Park Family Physicians Plc 7445 Allen Rd Ste 210 Allen Park MI 48101-1995 Ph: (313) 525-4252 |
| NPI Number | 1265930275 |
|---|---|
| Provider Enumeration Date | 01/24/2018 |
| Last Update Date | 01/24/2018 |
| Medicare PECOS PAC ID | 8022379460 |
|---|---|
| Medicare Enrollment ID | O20180228001590 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265930275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Patrick Ray Vandehey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568544880 PECOS PAC ID: 8022200286 Enrollment ID: I20101006000252 |
| Provider Name | Michelle M Bauer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750463071 PECOS PAC ID: 6800084534 Enrollment ID: I20101222000757 |
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