| Dennis K Chernin Md Pc | |
|
2345 S Huron Pkwy Ann Arbor MI 48104-5124 | |
| (734) 973-3030 | |
| (734) 973-3057 |
| Full Name | Dennis K Chernin Md Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2345 S Huron Pkwy, Ann Arbor, Michigan |
| Authorized Official Name and Position | Dennis Karl Chernin (OWNER) |
| Authorized Official Contact | 7349733030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis K Chernin Md Pc 2345 S Huron Pkwy Ann Arbor MI 48104-5124 Ph: (734) 973-3030 | Dennis K Chernin Md Pc 2345 S Huron Pkwy Ann Arbor MI 48104-5124 Ph: (734) 973-3030 |
| NPI Number | 1013248012 |
|---|---|
| Provider Enumeration Date | 01/15/2010 |
| Last Update Date | 01/15/2010 |
| Medicare PECOS PAC ID | 4284767153 |
|---|---|
| Medicare Enrollment ID | O20100728001110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013248012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 4301043276 (Michigan) | Primary |
| 261Q00000X | Clinic/center | G88197 (California) | Secondary |
| Provider Name | Dennis K Chernin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720177561 PECOS PAC ID: 1355474230 Enrollment ID: I20100728001143 |
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