| Lakeshore Medical Center, P.c. | |
|
33720 Harper Ave Suite A Clinton Twp MI 48035 | |
| (586) 294-5210 | |
| (586) 294-0215 |
| Full Name | Lakeshore Medical Center, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 33720 Harper Ave, Clinton Twp, Michigan |
| Authorized Official Name and Position | John R Pradko (OWNER) |
| Authorized Official Contact | 5862945210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeshore Medical Center, P.c. 33720 Harper Ave Suite A Clinton Twp MI 48035 Ph: (586) 294-5210 | Lakeshore Medical Center, P.c. 33720 Harper Ave Suite A Clinton Twp MI 48035 Ph: (586) 294-5210 |
| NPI Number | 1437239043 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 10/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437239043 | NPI | - | NPPES |
| 3223681 | Medicaid | MI | |
| CH9022 | Other | MI | RAILROAD MEDICARE |
| 4679899 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Catholic Services Of Macomb Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15945 Canal Rd, Clinton Twp, MI 48038 Phone: 586-416-2300 Fax: 586-416-2300 | |
Eastpointe Physical Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 42536 Hayes Rd, Suite 100, Clinton Twp, MI 48038 Phone: 586-286-9644 Fax: 586-286-9647 | |
Partridge Family Physicians Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 43201 Commons Drive, Clinton Twp, MI 48038 Phone: 586-228-0780 Fax: 586-228-1809 | |
Sterling Internal Medicine Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15855 19 Mile Rd, Clinton Twp, MI 48038 Phone: 810-394-3237 Fax: 586-254-3872 | |
Reynold M John, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 43171 Dalcoma Dr Ste 6, Clinton Twp, MI 48038 Phone: 586-286-1163 | |
Manaf Madoun Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 35740 Harper Ave, Clinton Twp, MI 48035 Phone: 586-790-2909 | |
Pioneer Medical Associates P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15945 19 Mile Rd Ste 204, Clinton Twp, MI 48038 Phone: 586-757-6400 |