| Family Practice Centre Of Livonia, Pc | |
|
38253 Ann Arbor Rd Livonia MI 48150-3432 | |
| (734) 464-9200 | |
| (734) 464-0017 |
| Full Name | Family Practice Centre Of Livonia, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 38253 Ann Arbor Rd, Livonia, Michigan |
| Authorized Official Name and Position | Troy Merrill Smith (PARTNER) |
| Authorized Official Contact | 7344649200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Centre Of Livonia, Pc 38253 Ann Arbor Rd Livonia MI 48150-3432 Ph: (734) 464-9200 | Family Practice Centre Of Livonia, Pc 38253 Ann Arbor Rd Livonia MI 48150-3432 Ph: (734) 464-9200 |
| NPI Number | 1619948114 |
|---|---|
| Provider Enumeration Date | 02/01/2006 |
| Last Update Date | 03/24/2020 |
| Medicare PECOS PAC ID | 6002803343 |
|---|---|
| Medicare Enrollment ID | O20040428000756 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619948114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Anton Bahu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366412272 PECOS PAC ID: 5991792251 Enrollment ID: I20040428000895 |
| Provider Name | Frank D Winters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093785941 PECOS PAC ID: 7315934668 Enrollment ID: I20040930000308 |
| Provider Name | Troy M Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922078450 PECOS PAC ID: 9739176090 Enrollment ID: I20040930000356 |
| Provider Name | William F Rollins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629048152 PECOS PAC ID: 7810984176 Enrollment ID: I20050303000860 |
| Provider Name | Richard Anthony Ozog |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144278367 PECOS PAC ID: 2668483199 Enrollment ID: I20060518000115 |
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