| Maywood Medical And Industrial Clinic, Inc. | |
|
811 N Macomb St Monroe MI 48162-3078 | |
| (734) 243-2300 | |
| (734) 243-2490 |
| Full Name | Maywood Medical And Industrial Clinic, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 811 N Macomb St, Monroe, Michigan |
| Authorized Official Name and Position | Hyun A Steward (PRESIDENT) |
| Authorized Official Contact | 7342429000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maywood Medical And Industrial Clinic, Inc. 811 N Macomb St Monroe MI 48162-3078 Ph: (734) 243-2300 | Maywood Medical And Industrial Clinic, Inc. 811 N Macomb St Monroe MI 48162-3078 Ph: (734) 243-2300 |
| NPI Number | 1518171073 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 02/27/2008 |
| Medicare PECOS PAC ID | 9436234143 |
|---|---|
| Medicare Enrollment ID | O20080305000363 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518171073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 213ES0131X | Podiatrist - Foot Surgery | (* (Not Available)) | Secondary |
| Provider Name | Hyun A Steward |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639145212 PECOS PAC ID: 0446335152 Enrollment ID: I20080305000356 |
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