Amd Primary Care, Pllc | |
7070 Miller Rd Suite A Swartz Creek MI 48473-1591 | |
(810) 564-7995 | |
Not Available |
Full Name | Amd Primary Care, Pllc |
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Speciality | Family Medicine |
Location | 7070 Miller Rd, Swartz Creek, Michigan |
Authorized Official Name and Position | Paul A Massimino (COO) |
Authorized Official Contact | 8105647998 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Amd Primary Care, Pllc 7070 Miller Rd Suite A Swartz Creek MI 48473 Ph: (810) 564-7995 | Amd Primary Care, Pllc 7070 Miller Rd Suite A Swartz Creek MI 48473-1591 Ph: (810) 564-7995 |
NPI Number | 1568858504 |
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Provider Enumeration Date | 04/07/2015 |
Last Update Date | 04/07/2015 |
Medicare PECOS PAC ID | 0547577884 |
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Medicare Enrollment ID | O20150917002795 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568858504 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Robert K Brummeler |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831205806 PECOS PAC ID: 3971602814 Enrollment ID: I20070619000221 |
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