| Endocrinology Center Pc | |
|
17412 W 13 Mile Rd Beverly Hills MI 48025-5439 | |
| (248) 258-8740 | |
| (248) 258-9329 |
| Full Name | Endocrinology Center Pc |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 17412 W 13 Mile Rd, Beverly Hills, Michigan |
| Authorized Official Name and Position | Luis F Ospina (OWNER) |
| Authorized Official Contact | 2482588740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Endocrinology Center Pc 17412 W 13 Mile Rd Beverly Hills MI 48025-5439 Ph: (248) 258-8740 | Endocrinology Center Pc 17412 W 13 Mile Rd Beverly Hills MI 48025-5439 Ph: (248) 258-8740 |
| NPI Number | 1427215821 |
|---|---|
| Provider Enumeration Date | 05/22/2008 |
| Last Update Date | 05/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427215821 | NPI | - | NPPES |
| 2098391 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 4301034402 (Michigan) | Primary |
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