| Mirella Ducu Md Pllc | |
|
3407 Buckingham Trl West Bloomfield MI 48323-2811 | |
| (248) 842-9871 | |
| Not Available |
| Full Name | Mirella Ducu Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3407 Buckingham Trl, West Bloomfield, Michigan |
| Authorized Official Name and Position | Mirella Ducu (OWNER) |
| Authorized Official Contact | 2488429871 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mirella Ducu Md Pllc 3407 Buckingham Trl West Bloomfield MI 48323-2811 Ph: (248) 842-9871 | Mirella Ducu Md Pllc 3407 Buckingham Trl West Bloomfield MI 48323-2811 Ph: (248) 842-9871 |
| NPI Number | 1578100392 |
|---|---|
| Provider Enumeration Date | 12/01/2019 |
| Last Update Date | 12/01/2019 |
| Medicare PECOS PAC ID | 5698100873 |
|---|---|
| Medicare Enrollment ID | O20200116000315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578100392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mirella F Ducu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528136066 PECOS PAC ID: 8527059575 Enrollment ID: I20040519001267 |
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