| Dearborn Pediatric & Adolescent Medical Center, Pc | |
|
6620 Schaefer Rd Dearborn MI 48126-4502 | |
| (313) 582-3700 | |
| (313) 582-3301 |
| Full Name | Dearborn Pediatric & Adolescent Medical Center, Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 6620 Schaefer Rd, Dearborn, Michigan |
| Authorized Official Name and Position | Lobna R Elhasan-fakih (PRESIDENT) |
| Authorized Official Contact | 3135823700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dearborn Pediatric & Adolescent Medical Center, Pc 6620 Schaefer Rd Dearborn MI 48126-4502 Ph: (313) 582-3700 | Dearborn Pediatric & Adolescent Medical Center, Pc 6620 Schaefer Rd Dearborn MI 48126-4502 Ph: (313) 582-3700 |
| NPI Number | 1427056068 |
|---|---|
| Provider Enumeration Date | 07/08/2005 |
| Last Update Date | 01/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427056068 | NPI | - | NPPES |
| 4713462 | Medicaid | MI | |
| 3479230 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 4301064108 (Michigan) | Primary |
Infinity Visiting Physicians Associate Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5245 Schaefer Rd Ste D, Dearborn, MI 48126 Phone: 248-862-5311 | |
Dearborn Family Clinic, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3133 S Telegraph Rd, Dearborn, MI 48124 Phone: 313-565-6566 Fax: 313-561-5554 | |
W.j. Ringold M.d.p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 Monroe St, Dearborn, MI 48124 Phone: 313-562-9100 Fax: 313-562-5851 | |
Dearborn Internist P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10066 Dix Ave, Suite 100, Dearborn, MI 48120 Phone: 313-849-4949 Fax: 313-849-0469 | |
Positron Medical Group Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6437 Argyle St, Dearborn, MI 48126 Phone: 650-503-9990 | |
Henry Ford Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5111 Auto Club Dr, Suite 112, Dearborn, MI 48126 Phone: 313-317-2000 Fax: 313-317-2090 | |
Michigan Medical Services Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13530 Michigan Ave, Dearborn, MI 48126 Phone: 313-945-0075 |