| |
15510 Farmington Rd Livonia MI 48154-2852 | |
(248) 344-7400 | |
(248) 344-7401 |
Full Name | |
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Speciality | Clinic/Center |
Location | 15510 Farmington Rd, Livonia, Michigan |
Authorized Official Name and Position | George Michael Nicoloff (PRESIDENT) |
Authorized Official Contact | 2483447400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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15510 Farmington Rd Livonia MI 48154-2852 Ph: (248) 344-7400 | 15510 Farmington Rd Livonia MI 48154-2852 Ph: (248) 344-7400 |
NPI Number | 1871890251 |
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Provider Enumeration Date | 02/20/2011 |
Last Update Date | 11/25/2024 |
Medicare PECOS PAC ID | 4880878669 |
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Medicare Enrollment ID | O20110404000433 |
Identifier | Type | State | Issuer |
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1871890251 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 4301063890 (Michigan) | Primary |
Provider Name | George M Nicoloff |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083674626 PECOS PAC ID: 6406749837 Enrollment ID: I20040207000296 |
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