Integrative Family Care, Pllc | |
52915 Mound Rd Shelby Township MI 48316-3266 | |
(586) 210-3200 | |
(586) 210-3300 |
Full Name | Integrative Family Care, Pllc |
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Speciality | Family Medicine |
Location | 52915 Mound Rd, Shelby Township, Michigan |
Authorized Official Name and Position | Christina A Munn (PA., OWNER, AUTHORIZED OFFICIAL) |
Authorized Official Contact | 5867095271 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Integrative Family Care, Pllc 11256 Orchard Hill Dr Bruce Twp MI 48065-4397 Ph: (586) 709-5271 | Integrative Family Care, Pllc 52915 Mound Rd Shelby Township MI 48316-3266 Ph: (586) 210-3200 |
NPI Number | 1225692387 |
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Provider Enumeration Date | 04/24/2019 |
Last Update Date | 05/02/2019 |
Medicare PECOS PAC ID | 5890028336 |
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Medicare Enrollment ID | O20190614001553 |
Identifier | Type | State | Issuer |
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1225692387 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
Provider Name | Deanne E Kiba |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508070475 PECOS PAC ID: 2264507425 Enrollment ID: I20160119001977 |
Provider Name | Drita Gojcaj |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891288932 PECOS PAC ID: 5991040115 Enrollment ID: I20181217001799 |
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