Oakman Medical Clinic Pllc | |
3755 Fort St Lincoln Park MI 48146-4118 | |
(313) 908-1941 | |
(313) 908-9496 |
Full Name | Oakman Medical Clinic Pllc |
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Speciality | Internal Medicine |
Location | 3755 Fort St, Lincoln Park, Michigan |
Authorized Official Name and Position | Fady Fayad (OWNER) |
Authorized Official Contact | 3139081941 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Oakman Medical Clinic Pllc 3755 Fort St Lincoln Park MI 48146-4118 Ph: () - | Oakman Medical Clinic Pllc 3755 Fort St Lincoln Park MI 48146-4118 Ph: (313) 908-1941 |
NPI Number | 1376023861 |
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Provider Enumeration Date | 08/15/2018 |
Last Update Date | 08/15/2018 |
Medicare PECOS PAC ID | 1658621057 |
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Medicare Enrollment ID | O20180905003584 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376023861 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Fady Fayad Fayad |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205862612 PECOS PAC ID: 6103892807 Enrollment ID: I20040903000430 |
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