| Coordinated Medical I Pllc | |
|
39555 Orchard Hill Pl Ste 600 Novi MI 48375-5381 | |
| (833) 633-1295 | |
| Not Available |
| Full Name | Coordinated Medical I Pllc |
|---|---|
| Speciality | General Practice |
| Location | 39555 Orchard Hill Pl Ste 600, Novi, Michigan |
| Authorized Official Name and Position | Jennifer Little (DIRECTOR) |
| Authorized Official Contact | 7244548146 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coordinated Medical I Pllc 210 Athens Way Ste 100 Nashville TN 37228-1308 Ph: (833) 633-1295 | Coordinated Medical I Pllc 39555 Orchard Hill Pl Ste 600 Novi MI 48375-5381 Ph: (833) 633-1295 |
| NPI Number | 1053019679 |
|---|---|
| Provider Enumeration Date | 02/22/2023 |
| Last Update Date | 09/05/2024 |
| Medicare PECOS PAC ID | 3577903442 |
|---|---|
| Medicare Enrollment ID | O20240426000077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053019679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Melanie Odeleye |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1184988255 PECOS PAC ID: 0244474633 Enrollment ID: I20231002002678 |
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