| Great Lakes Internist Pc | |
|
35000 Division Rd Suite 9 Richmond MI 48062-1566 | |
| (586) 228-8606 | |
| Not Available |
| Full Name | Great Lakes Internist Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 35000 Division Rd, Richmond, Michigan |
| Authorized Official Name and Position | Mouhamad F Rihawi (PRESIDENT) |
| Authorized Official Contact | 5867277209 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Lakes Internist Pc 35000 Division Rd Suite 9 Richmond MI 48062-1566 Ph: (586) 727-7209 | Great Lakes Internist Pc 35000 Division Rd Suite 9 Richmond MI 48062-1566 Ph: (586) 228-8606 |
| NPI Number | 1962555227 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 07/02/2013 |
| Medicare PECOS PAC ID | 9032111356 |
|---|---|
| Medicare Enrollment ID | O20070215000159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962555227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301065345 (Michigan) | Primary |
| 261QP2300X | Clinic/center - Primary Care | 4301065345 (Michigan) | Secondary |
| Provider Name | Mouhamad F Rihawi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699769653 PECOS PAC ID: 3375550668 Enrollment ID: I20060310000471 |
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