| City Medical Partners Pa | |
|
21333 Haggerty Rd Suite 150 Novi MI 48375-5510 | |
| (248) 662-0250 | |
| (248) 662-9845 |
| Full Name | City Medical Partners Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 21333 Haggerty Rd, Novi, Michigan |
| Authorized Official Name and Position | Thomas M Prose (PRESIDENT) |
| Authorized Official Contact | 2486620250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| City Medical Partners Pa 21333 Haggerty Rd Suite 150 Novi MI 48375-5510 Ph: (248) 662-0250 | City Medical Partners Pa 21333 Haggerty Rd Suite 150 Novi MI 48375-5510 Ph: (248) 662-0250 |
| NPI Number | 1285095315 |
|---|---|
| Provider Enumeration Date | 03/17/2016 |
| Last Update Date | 08/04/2016 |
| Medicare PECOS PAC ID | 5991003659 |
|---|---|
| Medicare Enrollment ID | O20160419000332 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285095315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (Michigan) | Primary |
| 363L00000X | Nurse Practitioner | (Michigan) | Secondary |
| Provider Name | Anna W Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861801870 PECOS PAC ID: 4183841109 Enrollment ID: I20140814000855 |
| Provider Name | Carol Ann Dickerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568434173 PECOS PAC ID: 0547239550 Enrollment ID: I20141106000371 |
| Provider Name | Allison L Plaisance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487065538 PECOS PAC ID: 1557583499 Enrollment ID: I20141110001974 |
| Provider Name | Eleanor Ana Sigalas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780034868 PECOS PAC ID: 6709170590 Enrollment ID: I20160802000661 |
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