| Macomb Gastroenterology Pc | |
|
37555 Garfield Ste 125 Clinton Township MI 48036 | |
| (586) 263-7150 | |
| (586) 263-3212 |
| Full Name | Macomb Gastroenterology Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 37555 Garfield, Clinton Township, Michigan |
| Authorized Official Name and Position | Byung Soon Lee (PRESIDENT) |
| Authorized Official Contact | 5862637150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Macomb Gastroenterology Pc 37555 Garfield Ste 125 Clinton Township MI 48036 Ph: (586) 263-7150 | Macomb Gastroenterology Pc 37555 Garfield Ste 125 Clinton Township MI 48036 Ph: (586) 263-7150 |
| NPI Number | 1912002510 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0648205617 |
|---|---|
| Medicare Enrollment ID | O20050928000770 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912002510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Rene Peleman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225046170 PECOS PAC ID: 1153410493 Enrollment ID: I20101213000089 |
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