Mobile Medical Support | |
24293 Telegraph Rd Ste 212 Southfield MI 48033-7903 | |
(586) 436-1013 | |
Not Available |
Full Name | Mobile Medical Support |
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Speciality | General Practice |
Location | 24293 Telegraph Rd Ste 212, Southfield, Michigan |
Authorized Official Name and Position | Joy Ashteneau (VICE PRESIDENT) |
Authorized Official Contact | 8886285535 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mobile Medical Support 24293 Telegraph Rd Ste 212 Southfield MI 48033-7903 Ph: (586) 436-1013 | Mobile Medical Support 24293 Telegraph Rd Ste 212 Southfield MI 48033-7903 Ph: (586) 436-1013 |
NPI Number | 1598234809 |
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Provider Enumeration Date | 11/15/2018 |
Last Update Date | 05/15/2019 |
Medicare PECOS PAC ID | 0941542112 |
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Medicare Enrollment ID | O20190508003467 |
Identifier | Type | State | Issuer |
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1598234809 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Daniel St Amour |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164933354 PECOS PAC ID: 0345376083 Enrollment ID: I20180402001801 |
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Ark Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23999 Northwestern Hwy, Southfield, MI 48075 Phone: 248-924-1429 Fax: 248-419-2431 | |
Laina Feinstein Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 29829 Telegraph Rd, Suite 107, Southfield, MI 48034 Phone: 248-304-0786 Fax: 248-354-8559 | |
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