Grace Endocrine Services Pllc | |
21510 Harrington St Ste 303 Clinton Township MI 48036-2378 | |
(586) 741-5346 | |
(586) 741-8886 |
Full Name | Grace Endocrine Services Pllc |
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Speciality | Internal Medicine |
Location | 21510 Harrington St Ste 303, Clinton Township, Michigan |
Authorized Official Name and Position | Berhane Seyoum (OWNER/PROVIDER) |
Authorized Official Contact | 5867415346 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Grace Endocrine Services Pllc 21510 Harrington St Ste 303 Clinton Township MI 48036-2378 Ph: (586) 741-5346 | Grace Endocrine Services Pllc 21510 Harrington St Ste 303 Clinton Township MI 48036-2378 Ph: (586) 741-5346 |
NPI Number | 1851866172 |
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Provider Enumeration Date | 10/13/2018 |
Last Update Date | 06/21/2023 |
Medicare PECOS PAC ID | 2860738622 |
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Medicare Enrollment ID | O20190115003329 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851866172 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Secondary |
Provider Name | Berhane Seyoum |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1699702241 PECOS PAC ID: 6507844990 Enrollment ID: I20040712001077 |
Provider Name | Aradhana Addepalli |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1235213315 PECOS PAC ID: 8729051958 Enrollment ID: I20040817000168 |
Provider Name | Janefrances C Chukwu |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437106093 PECOS PAC ID: 6406869536 Enrollment ID: I20060713000157 |
Provider Name | Tsega Negassi Tesfay |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225542202 PECOS PAC ID: 8921428608 Enrollment ID: I20201019001643 |
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