| Dynamic Healthcare Pllc | |
|
33464 Schoenherr Rd Ste 160 Sterling Heights MI 48312-6392 | |
| (586) 585-6500 | |
| (586) 585-6852 |
| Full Name | Dynamic Healthcare Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 33464 Schoenherr Rd Ste 160, Sterling Heights, Michigan |
| Authorized Official Name and Position | Katherine Novak (MEMBER) |
| Authorized Official Contact | 5862197058 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Healthcare Pllc 33464 Schoenherr Rd Ste 160 Sterling Heights MI 48312-6392 Ph: (586) 585-6500 | Dynamic Healthcare Pllc 33464 Schoenherr Rd Ste 160 Sterling Heights MI 48312-6392 Ph: (586) 585-6500 |
| NPI Number | 1740945872 |
|---|---|
| Provider Enumeration Date | 11/03/2021 |
| Last Update Date | 11/03/2021 |
| Medicare PECOS PAC ID | 5496144180 |
|---|---|
| Medicare Enrollment ID | O20211118001757 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740945872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207QA0401X | Family Medicine - Addiction Medicine | (* (Not Available)) | Secondary |
| Provider Name | Calli Berman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609363431 PECOS PAC ID: 8224393889 Enrollment ID: I20180531001931 |
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