| Amy J Daros Do Pc | |
|
5065 Miller Rd Flint MI 48507-1037 | |
| (810) 230-0338 | |
| (810) 230-0595 |
| Full Name | Amy J Daros Do Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 5065 Miller Rd, Flint, Michigan |
| Authorized Official Name and Position | Amy J Daros (OWNER PRESIDENT) |
| Authorized Official Contact | 8102300338 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy J Daros Do Pc Po Box 887 Grand Blanc MI 48480-0887 Ph: (810) 230-0338 | Amy J Daros Do Pc 5065 Miller Rd Flint MI 48507-1037 Ph: (810) 230-0338 |
| NPI Number | 1710058680 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 11/06/2007 |
| Medicare PECOS PAC ID | 9638141906 |
|---|---|
| Medicare Enrollment ID | O20040807000165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710058680 | NPI | - | NPPES |
| 4250600 | Medicaid | MI | |
| 0856311114 | Other | MI | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 5101012998 (Michigan) | Primary |
| Provider Name | Amy J Daros |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1164443487 PECOS PAC ID: 5092787374 Enrollment ID: I20040810000693 |
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