| One Circle Health | |
|
210 Little Lake Dr Ste 10 Ann Arbor MI 48103-6218 | |
| (734) 332-9936 | |
| (734) 864-0018 |
| Full Name | One Circle Health |
|---|---|
| Speciality | Family Medicine |
| Location | 210 Little Lake Dr Ste 10, Ann Arbor, Michigan |
| Authorized Official Name and Position | Malcolm Sickels (PRESIDENT) |
| Authorized Official Contact | 7343329936 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| One Circle Health 210 Little Lake Dr Ste 10 Ann Arbor MI 48103-6218 Ph: (734) 332-9936 | One Circle Health 210 Little Lake Dr Ste 10 Ann Arbor MI 48103-6218 Ph: (734) 332-9936 |
| NPI Number | 1104928613 |
|---|---|
| Provider Enumeration Date | 09/04/2006 |
| Last Update Date | 08/25/2022 |
| Medicare PECOS PAC ID | 1951353093 |
|---|---|
| Medicare Enrollment ID | O20050216000730 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104928613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301082661 (Michigan) | Primary |
| Provider Name | Malcolm J Sickels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841392354 PECOS PAC ID: 5193777241 Enrollment ID: I20050218000542 |
| Provider Name | Danielle Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609225564 PECOS PAC ID: 8022301845 Enrollment ID: I20170725002185 |
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