| Facilicare Clinical Michigan Pllc | |
|
122 E Brown St Birmingham MI 48009-6201 | |
| (248) 845-4237 | |
| Not Available |
| Full Name | Facilicare Clinical Michigan Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 122 E Brown St, Birmingham, Michigan |
| Authorized Official Name and Position | Jylnelle Fearson (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 2488454237 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Facilicare Clinical Michigan Pllc Po Box 2137 Birmingham MI 48012-2137 Ph: () - | Facilicare Clinical Michigan Pllc 122 E Brown St Birmingham MI 48009-6201 Ph: (248) 845-4237 |
| NPI Number | 1508614447 |
|---|---|
| Provider Enumeration Date | 05/07/2024 |
| Last Update Date | 10/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508614447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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