| Master Medical, Pllc | |
|
22250 Providence Dr Ste 301 Southfield MI 48075-6211 | |
| (248) 849-3281 | |
| (248) 849-5449 |
| Full Name | Master Medical, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 22250 Providence Dr Ste 301, Southfield, Michigan |
| Authorized Official Name and Position | Samantha Middleton (CREDENTIALING) |
| Authorized Official Contact | 9893218918 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Master Medical, Pllc Po Box 3272 Saginaw MI 48605-3272 Ph: () - | Master Medical, Pllc 22250 Providence Dr Ste 301 Southfield MI 48075-6211 Ph: (248) 849-3281 |
| NPI Number | 1811601677 |
|---|---|
| Provider Enumeration Date | 01/06/2023 |
| Last Update Date | 01/16/2023 |
| Medicare PECOS PAC ID | 0547630337 |
|---|---|
| Medicare Enrollment ID | O20230112002568 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811601677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Avery Harris Mendelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811486251 PECOS PAC ID: 9739434788 Enrollment ID: I20210618000481 |
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