| Nestor B. Halicki D.o.,p,c. | |
|
5616 Highland Rd Waterford MI 48327-1926 | |
| (248) 674-2273 | |
| Not Available |
| Full Name | Nestor B. Halicki D.o.,p,c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5616 Highland Rd, Waterford, Michigan |
| Authorized Official Name and Position | Nestor Halicki (PRESIDENT) |
| Authorized Official Contact | 2486742273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nestor B. Halicki D.o.,p,c. 5616 Highland Rd Waterford MI 48327-1926 Ph: (248) 674-2273 | Nestor B. Halicki D.o.,p,c. 5616 Highland Rd Waterford MI 48327-1926 Ph: (248) 674-2273 |
| NPI Number | 1780667436 |
|---|---|
| Provider Enumeration Date | 11/28/2005 |
| Last Update Date | 10/02/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780667436 | NPI | - | NPPES |
| 1735036 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101009374 (Michigan) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | 5101009374 (Michigan) | Primary |
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