Pac Med Pllc | |
33300 Utica Rd Fraser MI 48026-2097 | |
(248) 410-6398 | |
Not Available |
Full Name | Pac Med Pllc |
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Speciality | Internal Medicine |
Location | 33300 Utica Rd, Fraser, Michigan |
Authorized Official Name and Position | Anthony Konja (OWNER) |
Authorized Official Contact | 2484106398 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pac Med Pllc 4450 Cherry Hill Dr Orchard Lake MI 48323-1611 Ph: (248) 410-6398 | Pac Med Pllc 33300 Utica Rd Fraser MI 48026-2097 Ph: (248) 410-6398 |
NPI Number | 1861246522 |
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Provider Enumeration Date | 04/17/2024 |
Last Update Date | 04/17/2024 |
Medicare PECOS PAC ID | 5496297640 |
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Medicare Enrollment ID | O20240604001299 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861246522 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Anthony Konja |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639673601 PECOS PAC ID: 7911253042 Enrollment ID: I20210908001528 |
Provider Name | Cyrus Garmo |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669030748 PECOS PAC ID: 9830423987 Enrollment ID: I20211115001136 |
Lifetime Family Care, P.l.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31022 Utica Rd, Fraser, MI 48026 Phone: 586-293-1340 Fax: 586-293-7079 | |
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Paul R Troost Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 33089 Groesbeck Hwy, Fraser, MI 48026 Phone: 586-296-2800 | |
Ralph Schwartz, D.o. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31022 Utica Rd, Fraser, MI 48026 Phone: 586-771-1070 Fax: 586-293-7079 | |
Azeem Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15966 Van Ave, Fraser, MI 48026 Phone: 248-796-9517 | |
American Current Care Of Michigan, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 33089 Groesbeck Hwy, Fraser, MI 48026 Phone: 586-296-2800 Fax: 586-296-6190 |