Completely Well Health & Wellness Pc | |
25500 Meadowbrook Rd Ste 260 Novi MI 48375-1883 | |
(248) 639-4131 | |
Not Available |
Full Name | Completely Well Health & Wellness Pc |
---|---|
Speciality | Family Medicine |
Location | 25500 Meadowbrook Rd Ste 260, Novi, Michigan |
Authorized Official Name and Position | Ron Kuzdak (CEO) |
Authorized Official Contact | 2487708280 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Completely Well Health & Wellness Pc 25500 Meadowbrook Rd Ste 260 Novi MI 48375-1883 Ph: () - | Completely Well Health & Wellness Pc 25500 Meadowbrook Rd Ste 260 Novi MI 48375-1883 Ph: (248) 639-4131 |
NPI Number | 1194407619 |
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Provider Enumeration Date | 08/03/2023 |
Last Update Date | 08/14/2023 |
Medicare PECOS PAC ID | 2769838259 |
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Medicare Enrollment ID | O20231019000456 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194407619 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Ron C Kuzdak |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689618449 PECOS PAC ID: 3476509597 Enrollment ID: I20050322000910 |
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