| Merwin Lee Jenkins D.o. P.c. | |
|
31410 Joy Rd Livonia MI 48150-3836 | |
| (734) 425-6950 | |
| Not Available |
| Full Name | Merwin Lee Jenkins D.o. P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 31410 Joy Rd, Livonia, Michigan |
| Authorized Official Name and Position | Merwin Lee Jenkins (PRESIDENT) |
| Authorized Official Contact | 7344256950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Merwin Lee Jenkins D.o. P.c. 31410 Joy Rd Livonia MI 48150-3836 Ph: (734) 425-6950 | Merwin Lee Jenkins D.o. P.c. 31410 Joy Rd Livonia MI 48150-3836 Ph: (734) 425-6950 |
| NPI Number | 1184884074 |
|---|---|
| Provider Enumeration Date | 06/13/2008 |
| Last Update Date | 09/09/2008 |
| Medicare PECOS PAC ID | 7618041682 |
|---|---|
| Medicare Enrollment ID | O20080808000622 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184884074 | NPI | - | NPPES |
| 4471325 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101007097 (Michigan) | Primary |
| Provider Name | Harvey Minkin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083667430 PECOS PAC ID: 9234197138 Enrollment ID: I20041223000118 |
| Provider Name | Merwin Lee Jenkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194783696 PECOS PAC ID: 1456425420 Enrollment ID: I20080808000611 |
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