Dr Leroy S Neumann And Dr Fredric I Neumann | |
39880 Van Dyke Ste 102 Sterling Hghts MI 48313 | |
(586) 939-9060 | |
(586) 939-6639 |
Full Name | Dr Leroy S Neumann And Dr Fredric I Neumann |
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Speciality | Family Medicine |
Location | 39880 Van Dyke, Sterling Hghts, Michigan |
Authorized Official Name and Position | Fredric I Neumann (PRESIDENT) |
Authorized Official Contact | 5869399060 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dr Leroy S Neumann And Dr Fredric I Neumann 39880 Van Dyke Ste 102 Sterling Hghts MI 48313 Ph: (586) 939-9060 | Dr Leroy S Neumann And Dr Fredric I Neumann 39880 Van Dyke Ste 102 Sterling Hghts MI 48313 Ph: (586) 939-9060 |
NPI Number | 1942309091 |
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Provider Enumeration Date | 09/22/2006 |
Last Update Date | 03/07/2023 |
Medicare PECOS PAC ID | 6406998863 |
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Medicare Enrollment ID | O20100122000448 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942309091 | NPI | - | NPPES |
080E01042 | Other | MI | BCBS |
3229756 | Medicaid | MI | |
23D0371615 | Other | MI | CLIA |
080082386 | Other | MI | RAILROAD MEDICARE |
3229747 | Medicaid | MI | |
43253579 | Other | MI | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | FN009587 (Michigan) | Primary |
207Q00000X | Family Medicine | LN004676 (Michigan) | Secondary |
Provider Name | Fredric Irwin Neumann |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013009901 PECOS PAC ID: 3577605930 Enrollment ID: I20100730000571 |