Pacific Health, P.c. | |
649 E 12 Mile Rd Madison Heights MI 48071-2568 | |
(248) 584-5590 | |
(248) 584-5591 |
Full Name | Pacific Health, P.c. |
---|---|
Speciality | Family Medicine |
Location | 649 E 12 Mile Rd, Madison Heights, Michigan |
Authorized Official Name and Position | Benjamin Nguyen (MEDICAL DIRECTOR) |
Authorized Official Contact | 2485845590 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pacific Health, P.c. 649 E 12 Mile Rd Madison Heights MI 48071-2568 Ph: (248) 584-5590 | Pacific Health, P.c. 649 E 12 Mile Rd Madison Heights MI 48071-2568 Ph: (248) 584-5590 |
NPI Number | 1629183546 |
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Provider Enumeration Date | 08/20/2006 |
Last Update Date | 01/31/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629183546 | NPI | - | NPPES |
4257639 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4301070709 (Michigan) | Primary |
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