Ganka Spassova Md Pllc | |
1307 Ford Ave Wyandotte MI 48192-3823 | |
(734) 284-6338 | |
(734) 282-7390 |
Full Name | Ganka Spassova Md Pllc |
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Speciality | Family Medicine |
Location | 1307 Ford Ave, Wyandotte, Michigan |
Authorized Official Name and Position | Ganka Spassova (SOLE MEMBER) |
Authorized Official Contact | 7342846338 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ganka Spassova Md Pllc 18770 Farmington Rd Suite 100 Livonia MI 48152-3292 Ph: (734) 284-6338 | Ganka Spassova Md Pllc 1307 Ford Ave Wyandotte MI 48192-3823 Ph: (734) 284-6338 |
NPI Number | 1255677266 |
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Provider Enumeration Date | 12/19/2012 |
Last Update Date | 01/13/2017 |
Medicare PECOS PAC ID | 9830336924 |
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Medicare Enrollment ID | O20130509000060 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255677266 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Ganka A Spassova |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053520148 PECOS PAC ID: 2961567565 Enrollment ID: I20090216000113 |
Thimmiah Ramesh, M.d. P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2271 Eureka Rd, Wyandotte, MI 48192 Phone: 734-283-8811 Fax: 734-283-6768 | |
Sami M Baraka Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1622 Eureka Rd, Wyandotte, MI 48192 Phone: 734-282-0600 Fax: 734-282-0500 | |
Nordyke Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2201 Ford Ave, Wyandotte, MI 48192 Phone: 734-258-8835 Fax: 734-258-8885 | |
Sita Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 995 Ford Ave, Wyandotte, MI 48192 Phone: 734-284-3100 Fax: 734-284-8212 | |
Henry Ford Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2333 Biddle Avenue, Henry Ford Wyandotte Hospital, Wyandotte, MI 48192 Phone: 734-246-6036 | |
Stephen J. Watts, Md, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3333 Biddle, Suite 1d, Wyandotte, MI 48192 Phone: 734-285-2405 Fax: 734-285-2435 |