| David Schwartzenfeld Medical Pc | |
|
633 South Blvd E Ste 1200 Rochester Hills MI 48307-5364 | |
| (248) 705-6223 | |
| (313) 294-0437 |
| Full Name | David Schwartzenfeld Medical Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 633 South Blvd E Ste 1200, Rochester Hills, Michigan |
| Authorized Official Name and Position | David Schwartzenfeld (PRESIDENT) |
| Authorized Official Contact | 2487056223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Schwartzenfeld Medical Pc 6825 Allen Rd Allen Park MI 48101-2007 Ph: (248) 705-6223 | David Schwartzenfeld Medical Pc 633 South Blvd E Ste 1200 Rochester Hills MI 48307-5364 Ph: (248) 705-6223 |
| NPI Number | 1508048901 |
|---|---|
| Provider Enumeration Date | 11/28/2007 |
| Last Update Date | 07/14/2021 |
| Medicare PECOS PAC ID | 6406933795 |
|---|---|
| Medicare Enrollment ID | O20080410000718 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508048901 | NPI | - | NPPES |
| 1508048901 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101014823 (Michigan) | Secondary |
| 207QH0002X | Family Medicine - Hospice And Palliative Medicine | (* (Not Available)) | Primary |
| Provider Name | Frank D Winters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093785941 PECOS PAC ID: 7315934668 Enrollment ID: I20040930000308 |
| Provider Name | Ted H Schwartzenfeld |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1124007539 PECOS PAC ID: 3577500560 Enrollment ID: I20050412000218 |
| Provider Name | David M Schwartzenfeld |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174637938 PECOS PAC ID: 0042217341 Enrollment ID: I20061030000492 |
| Provider Name | Monika Krystyna Clay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942896253 PECOS PAC ID: 0648672733 Enrollment ID: I20210712004100 |
| Provider Name | Wolfgang V. Crider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538815774 PECOS PAC ID: 0941688741 Enrollment ID: I20220607002677 |
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