| Essential Care Family Medicine Pllc | |
|
21603 E 11 Mile Rd Saint Clair Shores MI 48081-1636 | |
| (586) 280-2100 | |
| (586) 210-8808 |
| Full Name | Essential Care Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 21603 E 11 Mile Rd, Saint Clair Shores, Michigan |
| Authorized Official Name and Position | Marcus Edward Koss (OWNER) |
| Authorized Official Contact | 5862802100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Essential Care Family Medicine Pllc 21603 E 11 Mile Rd Saint Clair Shores MI 48081-1636 Ph: (586) 280-2100 | Essential Care Family Medicine Pllc 21603 E 11 Mile Rd Saint Clair Shores MI 48081-1636 Ph: (586) 280-2100 |
| NPI Number | 1508519075 |
|---|---|
| Provider Enumeration Date | 02/03/2022 |
| Last Update Date | 05/26/2022 |
| Medicare PECOS PAC ID | 9436543188 |
|---|---|
| Medicare Enrollment ID | O20220223002521 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508519075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Marcus E Koss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750300679 PECOS PAC ID: 9638112683 Enrollment ID: I20050609001035 |
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