Elle Md Pllc | |
702 W 11 Mile Rd Royal Oak MI 48067-2411 | |
(248) 622-2694 | |
Not Available |
Full Name | Elle Md Pllc |
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Speciality | Clinic/Center |
Location | 702 W 11 Mile Rd, Royal Oak, Michigan |
Authorized Official Name and Position | Erin Hendriks (PART-OWNER) |
Authorized Official Contact | 2486222694 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Elle Md Pllc 702 W 11 Mile Rd Royal Oak MI 48067-2411 Ph: (248) 284-6777 | Elle Md Pllc 702 W 11 Mile Rd Royal Oak MI 48067-2411 Ph: (248) 622-2694 |
NPI Number | 1295466720 |
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Provider Enumeration Date | 06/24/2022 |
Last Update Date | 09/24/2022 |
Medicare PECOS PAC ID | 1658755178 |
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Medicare Enrollment ID | O20220901002390 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295466720 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Erin M Hendriks |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659532620 PECOS PAC ID: 9335313642 Enrollment ID: I20120913000278 |
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