| Bradford Merrelli Md Pc | |
|
595 Barclay Cir Suite D Rochester Hills MI 48307-5802 | |
| (248) 852-5355 | |
| (248) 852-8411 |
| Full Name | Bradford Merrelli Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 595 Barclay Cir, Rochester Hills, Michigan |
| Authorized Official Name and Position | Bradford J Merrelli (PRESIDENT) |
| Authorized Official Contact | 2488525355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradford Merrelli Md Pc 595 Barclay Cir Suite D Rochester Hills MI 48307-5802 Ph: (248) 852-5355 | Bradford Merrelli Md Pc 595 Barclay Cir Suite D Rochester Hills MI 48307-5802 Ph: (248) 852-5355 |
| NPI Number | 1679779011 |
|---|---|
| Provider Enumeration Date | 06/22/2007 |
| Last Update Date | 06/30/2014 |
| Medicare PECOS PAC ID | 5294806014 |
|---|---|
| Medicare Enrollment ID | O20080620000485 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679779011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301048826 (Michigan) | Primary |
| Provider Name | Bradford J Merrelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184699142 PECOS PAC ID: 9931270758 Enrollment ID: I20080620000477 |
| Provider Name | Sylvana I Yalda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528223732 PECOS PAC ID: 1456521939 Enrollment ID: I20110822000126 |
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