| Limb Preservation Group, Pllc | |
|
33376 Dequindre Rd Sterling Heights MI 48310-5966 | |
| (586) 515-0608 | |
| Not Available |
| Full Name | Limb Preservation Group, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 33376 Dequindre Rd, Sterling Heights, Michigan |
| Authorized Official Name and Position | Kevin J. Mayrand (MANAGING DIRECTOR) |
| Authorized Official Contact | 2484215420 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Limb Preservation Group, Pllc 869 Lake Shore Rd Grosse Pointe Shores MI 48236-1274 Ph: (248) 421-5420 | Limb Preservation Group, Pllc 33376 Dequindre Rd Sterling Heights MI 48310-5966 Ph: (586) 515-0608 |
| NPI Number | 1295223998 |
|---|---|
| Provider Enumeration Date | 04/27/2018 |
| Last Update Date | 04/18/2023 |
| Medicare PECOS PAC ID | 2365783370 |
|---|---|
| Medicare Enrollment ID | O20190401000238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295223998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 2086S0129X | Surgery - Vascular Surgery | (* (Not Available)) | Secondary |
| Provider Name | Justin E Trivax |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1174566095 PECOS PAC ID: 9537162565 Enrollment ID: I20060814000079 |
| Provider Name | Herman S Kado |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033367362 PECOS PAC ID: 8325281215 Enrollment ID: I20130824000081 |
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