| Eliezer Monge, M.d., P.c. | |
|
23607 Farmington Rd Farmington MI 48336-3109 | |
| (248) 474-5215 | |
| (248) 474-7260 |
| Full Name | Eliezer Monge, M.d., P.c. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 23607 Farmington Rd, Farmington, Michigan |
| Authorized Official Name and Position | Eliezer Monge (PRESIDENT/PHYSICIAN) |
| Authorized Official Contact | 2484745215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eliezer Monge, M.d., P.c. 23607 Farmington Rd Farmington MI 48336-3109 Ph: (248) 474-5215 | Eliezer Monge, M.d., P.c. 23607 Farmington Rd Farmington MI 48336-3109 Ph: (248) 474-5215 |
| NPI Number | 1043542459 |
|---|---|
| Provider Enumeration Date | 02/10/2010 |
| Last Update Date | 01/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043542459 | NPI | - | NPPES |
| 1047315 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 4301027308 (Michigan) | Primary |
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