| Ann Arbor Family Care, Pllc | |
|
955 W Eisenhower Cir Ste D Ann Arbor MI 48103-5868 | |
| (734) 747-8500 | |
| (734) 747-8547 |
| Full Name | Ann Arbor Family Care, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 955 W Eisenhower Cir, Ann Arbor, Michigan |
| Authorized Official Name and Position | Karl Julius Edelmann (OWNER) |
| Authorized Official Contact | 7347478500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ann Arbor Family Care, Pllc 955 W Eisenhower Cir Ste D Ann Arbor MI 48103-5868 Ph: (734) 747-8500 | Ann Arbor Family Care, Pllc 955 W Eisenhower Cir Ste D Ann Arbor MI 48103-5868 Ph: (734) 747-8500 |
| NPI Number | 1568636983 |
|---|---|
| Provider Enumeration Date | 04/16/2008 |
| Last Update Date | 11/19/2014 |
| Medicare PECOS PAC ID | 5294864724 |
|---|---|
| Medicare Enrollment ID | O20100521000445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568636983 | NPI | - | NPPES |
| 0808108511 | Other | MI | BCBS MICHIGAN |
| 435227010 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | KE406952 (Michigan) | Primary |
| Provider Name | Karl Julius Edelmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285632216 PECOS PAC ID: 6901935436 Enrollment ID: I20100521000469 |
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