| Metropolis Medical Partners Pa | |
|
21333 Haggerty Rd Suite 150 Novi MI 48375-5510 | |
| (248) 662-0250 | |
| (248) 662-9845 |
| Full Name | Metropolis Medical Partners Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 21333 Haggerty Rd, Novi, Michigan |
| Authorized Official Name and Position | Thomas M Prose (PRESIDENT) |
| Authorized Official Contact | 2486620250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metropolis Medical Partners Pa 21333 Haggerty Rd Suite 150 Novi MI 48375-5510 Ph: (248) 662-0250 | Metropolis Medical Partners Pa 21333 Haggerty Rd Suite 150 Novi MI 48375-5510 Ph: (248) 662-0250 |
| NPI Number | 1124489257 |
|---|---|
| Provider Enumeration Date | 03/17/2016 |
| Last Update Date | 08/04/2016 |
| Medicare PECOS PAC ID | 2466750690 |
|---|---|
| Medicare Enrollment ID | O20160426000177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124489257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (Michigan) | Primary |
| 363L00000X | Nurse Practitioner | (Michigan) | Secondary |
| Provider Name | Julius F Punzalan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366513376 PECOS PAC ID: 6103867478 Enrollment ID: I20050517000585 |
| Provider Name | Jeannie M Knotts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457704983 PECOS PAC ID: 7315233699 Enrollment ID: I20160913001335 |
| Provider Name | Amy J Calice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033605183 PECOS PAC ID: 1759632573 Enrollment ID: I20180918002327 |
| Provider Name | Malinda F Kemper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619442555 PECOS PAC ID: 9234475575 Enrollment ID: I20191125001618 |
| Provider Name | Sarah Nicole Ressel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598355406 PECOS PAC ID: 2466866702 Enrollment ID: I20210128001612 |
| Provider Name | Chelsey L Byergo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528631280 PECOS PAC ID: 8123423936 Enrollment ID: I20210817002465 |
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