| Compean Family Medicine, Pllc | |
|
327 Stewart Rd Monroe MI 48162 | |
| (734) 384-3660 | |
| (734) 384-3661 |
| Full Name | Compean Family Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 327 Stewart Rd, Monroe, Michigan |
| Authorized Official Name and Position | Jose Ricardo Compean (PHYSICIAN/OWNER) |
| Authorized Official Contact | 7343843660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compean Family Medicine, Pllc 327 Stewart Rd Monroe MI 48162 Ph: (734) 384-3660 | Compean Family Medicine, Pllc 327 Stewart Rd Monroe MI 48162 Ph: (734) 384-3660 |
| NPI Number | 1932379641 |
|---|---|
| Provider Enumeration Date | 03/10/2008 |
| Last Update Date | 01/07/2011 |
| Medicare PECOS PAC ID | 3779659636 |
|---|---|
| Medicare Enrollment ID | O20080829000414 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932379641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301091226 (Michigan) | Primary |
| Provider Name | Jose Ricardo Compean |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811167513 PECOS PAC ID: 3971402884 Enrollment ID: I20080815000637 |
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