| Consultants In Digestive Health Pllc | |
|
14555 Levan Rd Ste 314 Livonia MI 48154-5085 | |
| (734) 418-0204 | |
| (734) 256-7087 |
| Full Name | Consultants In Digestive Health Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 14555 Levan Rd Ste 314, Livonia, Michigan |
| Authorized Official Name and Position | Samantha Middleton (CREDENTIALING) |
| Authorized Official Contact | 9893218918 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Consultants In Digestive Health Pllc Po Box 3272 Saginaw MI 48605-3272 Ph: () - | Consultants In Digestive Health Pllc 14555 Levan Rd Ste 314 Livonia MI 48154-5085 Ph: (734) 418-0204 |
| NPI Number | 1508567256 |
|---|---|
| Provider Enumeration Date | 03/10/2023 |
| Last Update Date | 08/07/2023 |
| Medicare PECOS PAC ID | 4385018829 |
|---|---|
| Medicare Enrollment ID | O20230323001021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508567256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Alan Sabah Putrus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366784001 PECOS PAC ID: 3274844329 Enrollment ID: I20170922002819 |
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