| Marcel R Elanjian D O. Pllc | |
|
2151 Monroe St Dearborn MI 48124-2922 | |
| (313) 561-5050 | |
| (313) 561-6061 |
| Full Name | Marcel R Elanjian D O. Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2151 Monroe St, Dearborn, Michigan |
| Authorized Official Name and Position | Marcel Richard Elanjian (PHYSICIAN) |
| Authorized Official Contact | 3135616060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marcel R Elanjian D O. Pllc 2151 Monroe St Dearborn MI 48124-2922 Ph: (313) 561-5050 | Marcel R Elanjian D O. Pllc 2151 Monroe St Dearborn MI 48124-2922 Ph: (313) 561-5050 |
| NPI Number | 1629243290 |
|---|---|
| Provider Enumeration Date | 04/24/2008 |
| Last Update Date | 04/24/2008 |
| Medicare PECOS PAC ID | 2961575477 |
|---|---|
| Medicare Enrollment ID | O20080716000733 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629243290 | NPI | - | NPPES |
| 2116337 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | ME007858 (Michigan) | Primary |
| Provider Name | Marcel R Elanjian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861485500 PECOS PAC ID: 9133116478 Enrollment ID: I20040428000720 |
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