| Mrr Gi Pllc | |
|
26850 Providence Pkwy Ste 350 Novi MI 48374-1261 | |
| (248) 662-4110 | |
| Not Available |
| Full Name | Mrr Gi Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 26850 Providence Pkwy Ste 350, Novi, Michigan |
| Authorized Official Name and Position | Renee Thompson (BILLING MANAGER) |
| Authorized Official Contact | 5867516034 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mrr Gi Pllc 26850 Providence Pkwy Ste 350 Novi MI 48374-1261 Ph: (248) 662-4110 | Mrr Gi Pllc 26850 Providence Pkwy Ste 350 Novi MI 48374-1261 Ph: (248) 662-4110 |
| NPI Number | 1629758719 |
|---|---|
| Provider Enumeration Date | 07/24/2023 |
| Last Update Date | 07/24/2023 |
| Medicare PECOS PAC ID | 9537521711 |
|---|---|
| Medicare Enrollment ID | O20230821001476 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629758719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Michael R Raphael |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518170406 PECOS PAC ID: 7517144801 Enrollment ID: I20110614000721 |
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