Main Street Physicians P.c. | |
25000 Hall Rd Ste 1 Woodhaven MI 48183-5112 | |
(734) 676-3373 | |
(734) 676-2014 |
Full Name | Main Street Physicians P.c. |
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Speciality | Internal Medicine |
Location | 25000 Hall Rd Ste 1, Woodhaven, Michigan |
Authorized Official Name and Position | Christopher R Deangelis (CEO) |
Authorized Official Contact | 7346763373 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Main Street Physicians P.c. 25000 Hall Rd Ste 1 Woodhaven MI 48183-5112 Ph: (734) 676-3373 | Main Street Physicians P.c. 25000 Hall Rd Ste 1 Woodhaven MI 48183-5112 Ph: (734) 676-3373 |
NPI Number | 1952866808 |
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Provider Enumeration Date | 02/05/2019 |
Last Update Date | 02/05/2019 |
Medicare PECOS PAC ID | 6709125693 |
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Medicare Enrollment ID | O20190312001434 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952866808 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Christopher R Deangelis |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629076450 PECOS PAC ID: 1254416324 Enrollment ID: I20080313000300 |
Provider Name | Jennifer Burgtorf |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205202025 PECOS PAC ID: 6800103862 Enrollment ID: I20150923002754 |
South Allen Medical Group Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21090 Allen Rd, Woodhaven, MI 48183 Phone: 734-676-9800 | |
Mobile Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21090 Allen Rd, Woodhaven, MI 48183 Phone: 248-820-9828 Fax: 734-926-1911 | |
Downriver Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26375 Allen Rd, Woodhaven, MI 48183 Phone: 734-775-2796 Fax: 734-362-0603 | |
Mark W. Sawka, Mdpc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25000 Hall Rd Ste 1, Woodhaven, MI 48183 Phone: 734-675-1280 Fax: 734-675-1678 | |
Downriver Family Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26375 Allen Rd, Woodhaven, MI 48183 Phone: 734-250-1285 Fax: 313-945-5455 | |
Main Street Physicians P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25000 Hall Rd, Suite 1, Woodhaven, MI 48183 Phone: 734-676-3373 Fax: 734-675-1678 | |
Abdul Sattar Choudhry Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18600 Van Horn Rd, Woodhaven, MI 48183 Phone: 734-675-0300 Fax: 734-676-4954 |