Guidance Healthcare, Pllc | |
1990 Union Lake Rd., Ste 100 Commerce Twp MI 48382-2200 | |
(248) 303-4680 | |
(248) 572-4995 |
Full Name | Guidance Healthcare, Pllc |
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Speciality | General Practice |
Location | 1990 Union Lake Rd., Ste 100, Commerce Twp, Michigan |
Authorized Official Name and Position | Theodore G Engelmann (PHYSICIAN /OWNER) |
Authorized Official Contact | 6309472894 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Guidance Healthcare, Pllc Po Box 355 Lakeville MI 48366-0355 Ph: (248) 303-4680 | Guidance Healthcare, Pllc 1990 Union Lake Rd., Ste 100 Commerce Twp MI 48382-2200 Ph: (248) 303-4680 |
NPI Number | 1235677196 |
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Provider Enumeration Date | 02/10/2017 |
Last Update Date | 07/15/2024 |
Medicare PECOS PAC ID | 5395006258 |
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Medicare Enrollment ID | O20180309002255 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235677196 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5101007018 (Michigan) | Secondary |
208D00000X | General Practice | 5101007018 (Michigan) | Primary |
Provider Name | Theodore G Engelmann |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952323016 PECOS PAC ID: 7911957394 Enrollment ID: I20050124000694 |
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