| Center For Preventive Medicine Pc | |
|
20870 Mack Ave Grosse Pointe Woods MI 48236-1388 | |
| (313) 885-2334 | |
| (313) 647-4837 |
| Full Name | Center For Preventive Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 20870 Mack Ave, Grosse Pointe Woods, Michigan |
| Authorized Official Name and Position | Stephenie Lucas (OWNER) |
| Authorized Official Contact | 3138852334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Preventive Medicine Pc 20870 Mack Ave Grosse Pointe Woods MI 48236-1388 Ph: (313) 885-2334 | Center For Preventive Medicine Pc 20870 Mack Ave Grosse Pointe Woods MI 48236-1388 Ph: (313) 885-2334 |
| NPI Number | 1174719025 |
|---|---|
| Provider Enumeration Date | 09/24/2007 |
| Last Update Date | 05/04/2017 |
| Medicare PECOS PAC ID | 5294873956 |
|---|---|
| Medicare Enrollment ID | O20091117000620 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174719025 | NPI | - | NPPES |
| Provider Name | Vamshidhar D Guduguntla |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1174525729 PECOS PAC ID: 2567549660 Enrollment ID: I20080414000078 |
| Provider Name | Stephenie M Lucas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023116068 PECOS PAC ID: 4284772948 Enrollment ID: I20110110000076 |
| Provider Name | Logan A Oney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740397207 PECOS PAC ID: 6002954765 Enrollment ID: I20110114000967 |
| Provider Name | Carol Malone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619219003 PECOS PAC ID: 2264673987 Enrollment ID: I20130723000582 |
| Provider Name | Ann Marie Frances Gabrielson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861825242 PECOS PAC ID: 8325276025 Enrollment ID: I20131231001276 |
| Provider Name | Jennifer Kulinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033595749 PECOS PAC ID: 9537468137 Enrollment ID: I20160503002580 |
Fikry F Ibrahim Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20825 Mack Ave, Grosse Pointe Woods, MI 48236 Phone: 313-886-0006 Fax: 313-886-8523 | |
Grosse Pointe Urgent Care Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20311 Mack Ave, Grosse Pointe Woods, MI 48236 Phone: 313-499-6000 Fax: 313-499-6001 | |
Dennis C. Packey, Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20867 Mack Ave, Suite 3, Grosse Pointe Woods, MI 48236 Phone: 313-886-0600 Fax: 313-886-0612 | |
Matt Ptaszkiewicz Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19787 Mack Ave, Grosse Pointe Woods, MI 48236 Phone: 313-881-2666 Fax: 313-882-7596 | |
Dementia Partners Plus, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 558 Lochmoor Blvd, Grosse Pointe Woods, MI 48236 Phone: 616-540-7897 |