Bariatric Internists Of Michigan, P.c. | |
135 S Prospect St Ypsilanti MI 48198-7914 | |
(734) 547-1066 | |
(734) 547-1072 |
Full Name | Bariatric Internists Of Michigan, P.c. |
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Speciality | Internal Medicine |
Location | 135 S Prospect St, Ypsilanti, Michigan |
Authorized Official Name and Position | Elaina Vayntrub (PRESIDENT) |
Authorized Official Contact | 2484445498 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bariatric Internists Of Michigan, P.c. 135 S Prospect St Ypsilanti MI 48198-7914 Ph: (734) 547-1066 | Bariatric Internists Of Michigan, P.c. 135 S Prospect St Ypsilanti MI 48198-7914 Ph: (734) 547-1066 |
NPI Number | 1497946990 |
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Provider Enumeration Date | 08/08/2007 |
Last Update Date | 04/10/2015 |
Medicare PECOS PAC ID | 5597948745 |
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Medicare Enrollment ID | O20110324000776 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497946990 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 4301073103 (Michigan) | Primary |
Provider Name | Elaina Vayntrub |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1770573958 PECOS PAC ID: 7416984687 Enrollment ID: I20050719001010 |
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