| North Oakland Internists, Pc | |
|
3100 Cross Creek Pkwy Suite 220 Auburn Hills MI 48326-2774 | |
| (248) 377-0600 | |
| (248) 377-0606 |
| Full Name | North Oakland Internists, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3100 Cross Creek Pkwy, Auburn Hills, Michigan |
| Authorized Official Name and Position | Gregory George Stevens (PRESIDENT) |
| Authorized Official Contact | 2483770600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Oakland Internists, Pc 3100 Cross Creek Pkwy Suite 220 Auburn Hills MI 48326-2774 Ph: (248) 377-0600 | North Oakland Internists, Pc 3100 Cross Creek Pkwy Suite 220 Auburn Hills MI 48326-2774 Ph: (248) 377-0600 |
| NPI Number | 1083753255 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 02/09/2018 |
| Medicare PECOS PAC ID | 8729150131 |
|---|---|
| Medicare Enrollment ID | O20090113000803 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083753255 | NPI | - | NPPES |
| 110F371480 | Other | MI | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301053593 (Michigan) | Primary |
| Provider Name | Vachareeporn T Jayasvasti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801953492 PECOS PAC ID: 9638133622 Enrollment ID: I20041118000914 |
| Provider Name | Gregory G Stevens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275672420 PECOS PAC ID: 3072676303 Enrollment ID: I20090113000778 |
| Provider Name | Renee A Mirovsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740461185 PECOS PAC ID: 0345251906 Enrollment ID: I20100817001545 |
| Provider Name | Joseph Eric Gamalski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952741670 PECOS PAC ID: 6608161914 Enrollment ID: I20160825002202 |
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