| Blessings Medical Center Pc | |
|
4828 W Warren Ave Detroit MI 48210-1470 | |
| (313) 506-5706 | |
| Not Available |
| Full Name | Blessings Medical Center Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4828 W Warren Ave, Detroit, Michigan |
| Authorized Official Name and Position | Waad M Dakkak (OWNER) |
| Authorized Official Contact | 3135065706 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blessings Medical Center Pc 4828 W Warren Ave Detroit MI 48210-1470 Ph: (313) 506-5706 | Blessings Medical Center Pc 4828 W Warren Ave Detroit MI 48210-1470 Ph: (313) 506-5706 |
| NPI Number | 1881752301 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 11/28/2012 |
| Medicare PECOS PAC ID | 1658473350 |
|---|---|
| Medicare Enrollment ID | O20070227000509 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881752301 | NPI | - | NPPES |
| 10 4966995 | Medicaid | MI | |
| 110H203000 | Other | MI | BCBSM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301407507 (Michigan) | Primary |
| Provider Name | Waad M Dakkak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710933726 PECOS PAC ID: 2264329143 Enrollment ID: I20070219000048 |
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