Macomb Medical Clinic Pc | |
2405 E 14 Mile Rd Sterling Heights MI 48310-5961 | |
(586) 264-1800 | |
(586) 264-1155 |
Full Name | Macomb Medical Clinic Pc |
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Speciality | Family Medicine |
Location | 2405 E 14 Mile Rd, Sterling Heights, Michigan |
Authorized Official Name and Position | Mark Stephen Rosenberg (DIRECTOR) |
Authorized Official Contact | 5862641800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Macomb Medical Clinic Pc 2405 E 14 Mile Rd Sterling Heights MI 48310-5961 Ph: (586) 264-1800 | Macomb Medical Clinic Pc 2405 E 14 Mile Rd Sterling Heights MI 48310-5961 Ph: (586) 264-1800 |
NPI Number | 1922120070 |
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Provider Enumeration Date | 04/06/2007 |
Last Update Date | 09/05/2024 |
Medicare PECOS PAC ID | 8729057799 |
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Medicare Enrollment ID | O20040927000827 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922120070 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Mark S Rosenberg |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184601510 PECOS PAC ID: 4688751332 Enrollment ID: I20080407000082 |
Provider Name | Arthur S Lieberman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992782320 PECOS PAC ID: 8628050317 Enrollment ID: I20080407000139 |
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