Avocare Health Services | |
6 Parklane Blvd Ste 525 Dearborn MI 48126-4210 | |
(810) 275-1885 | |
(810) 391-2263 |
Full Name | Avocare Health Services |
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Speciality | Family Medicine |
Location | 6 Parklane Blvd Ste 525, Dearborn, Michigan |
Authorized Official Name and Position | John Hillary (CFO) |
Authorized Official Contact | 8102751885 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Avocare Health Services 6 Parklane Blvd Ste 525 Dearborn MI 48126-4210 Ph: (810) 275-1885 | Avocare Health Services 6 Parklane Blvd Ste 525 Dearborn MI 48126-4210 Ph: (810) 275-1885 |
NPI Number | 1154156420 |
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Provider Enumeration Date | 09/05/2024 |
Last Update Date | 09/05/2024 |
Medicare PECOS PAC ID | 2668838038 |
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Medicare Enrollment ID | O20240509003279 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154156420 | NPI | - | NPPES |
Provider Name | Robert J Lagrou |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1629279351 PECOS PAC ID: 3779645270 Enrollment ID: I20081217000396 |
Provider Name | James D Walker |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376638973 PECOS PAC ID: 6709921604 Enrollment ID: I20100303000575 |
Provider Name | Tomanika N Witherspoon |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1689891426 PECOS PAC ID: 1456531649 Enrollment ID: I20110204000422 |
Provider Name | Angela M Hanna |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659850162 PECOS PAC ID: 0143574509 Enrollment ID: I20181121001821 |
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