Berkley Medical Centers Pc | |
3345 Coolidge Hwy Berkley MI 48072-1635 | |
(248) 544-7110 | |
Not Available |
Full Name | Berkley Medical Centers Pc |
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Speciality | Clinic/Center |
Location | 3345 Coolidge Hwy, Berkley, Michigan |
Authorized Official Name and Position | Vian Misho (PROVIDER) |
Authorized Official Contact | 2485447110 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Berkley Medical Centers Pc 3345 Coolidge Hwy Berkley MI 48072-1635 Ph: (248) 544-7110 | Berkley Medical Centers Pc 3345 Coolidge Hwy Berkley MI 48072-1635 Ph: (248) 544-7110 |
NPI Number | 1801136395 |
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Provider Enumeration Date | 02/21/2013 |
Last Update Date | 11/18/2020 |
Medicare PECOS PAC ID | 8426297540 |
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Medicare Enrollment ID | O20130621000449 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801136395 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Vian F Misho |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023224664 PECOS PAC ID: 7113091307 Enrollment ID: I20090211000473 |
Bmcnh Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3345 Coolidge Hwy, Berkley, MI 48072 Phone: 248-544-7110 Fax: 248-544-7112 | |
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