| Michigan Integrative Health Center Pc | |
|
6300 22 Mile Rd Shelby Twp MI 48317-2106 | |
| (586) 726-9860 | |
| Not Available |
| Full Name | Michigan Integrative Health Center Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6300 22 Mile Rd, Shelby Twp, Michigan |
| Authorized Official Name and Position | Jon Schriner (OWNER) |
| Authorized Official Contact | 8108453880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan Integrative Health Center Pc 6300 22 Mile Rd Shelby Twp MI 48317-2106 Ph: (586) 726-9860 | Michigan Integrative Health Center Pc 6300 22 Mile Rd Shelby Twp MI 48317-2106 Ph: (586) 726-9860 |
| NPI Number | 1922630490 |
|---|---|
| Provider Enumeration Date | 02/12/2020 |
| Last Update Date | 02/12/2020 |
| Medicare PECOS PAC ID | 3173953288 |
|---|---|
| Medicare Enrollment ID | O20200413002700 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922630490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Michael Takashi Okumura |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1720006224 PECOS PAC ID: 8325012446 Enrollment ID: I20081027000766 |
| Provider Name | Jon L Schriner |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1902951809 PECOS PAC ID: 8729277876 Enrollment ID: I20110105001014 |
| Provider Name | Michelle C Dolson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598048464 PECOS PAC ID: 5799933131 Enrollment ID: I20120910000825 |
| Provider Name | Jennifer C Rohrborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598091704 PECOS PAC ID: 9234374018 Enrollment ID: I20130327000231 |
| Provider Name | Jean-luc Michel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457302747 PECOS PAC ID: 2466469127 Enrollment ID: I20170123000410 |
| Provider Name | Ashley Punches |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396255352 PECOS PAC ID: 5597027862 Enrollment ID: I20181009001730 |
| Provider Name | Wanda Theresa Bignotti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225551716 PECOS PAC ID: 6901292648 Enrollment ID: I20220406002203 |
| Provider Name | Zaid H Dawood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548841620 PECOS PAC ID: 9032597760 Enrollment ID: I20220608000722 |
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