| Bruce Terrio Md, Pc | |
|
12675 Whalen Lake Dr Hartland MI 48353-1513 | |
| (248) 347-8191 | |
| (440) 934-6147 |
| Full Name | Bruce Terrio Md, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12675 Whalen Lake Dr, Hartland, Michigan |
| Authorized Official Name and Position | Bruce W Terrio (OWNER) |
| Authorized Official Contact | 2484960927 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Terrio Md, Pc Po Box 67000 Dept 291701 Detroit MI 48267-0002 Ph: (248) 347-8191 | Bruce Terrio Md, Pc 12675 Whalen Lake Dr Hartland MI 48353-1513 Ph: (248) 347-8191 |
| NPI Number | 1285605774 |
|---|---|
| Provider Enumeration Date | 02/01/2006 |
| Last Update Date | 12/30/2020 |
| Medicare PECOS PAC ID | 3577561554 |
|---|---|
| Medicare Enrollment ID | O20061130000071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285605774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Bruce W Terrio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700866274 PECOS PAC ID: 9739177544 Enrollment ID: I20061130000082 |
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