| Partridge Family Physicians Pc | |
|
43201 Commons Drive Clinton Twp MI 48038 | |
| (586) 228-0780 | |
| (586) 228-1809 |
| Full Name | Partridge Family Physicians Pc |
|---|---|
| Speciality | General Practice |
| Location | 43201 Commons Drive, Clinton Twp, Michigan |
| Authorized Official Name and Position | Tracy Cockream (BILLER) |
| Authorized Official Contact | 5862280780 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Partridge Family Physicians Pc 43201 Commons Drive Clinton Twp MI 48038 Ph: (586) 228-0780 | Partridge Family Physicians Pc 43201 Commons Drive Clinton Twp MI 48038 Ph: (586) 228-0780 |
| NPI Number | 1043422132 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 11/16/2009 |
| Medicare PECOS PAC ID | 9830381607 |
|---|---|
| Medicare Enrollment ID | O20101012000612 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043422132 | NPI | - | NPPES |
| 0E06329 | Other | MI | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Gunateet Kulbhushan Goswami |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891793360 PECOS PAC ID: 7012983430 Enrollment ID: I20040908000242 |
| Provider Name | Timothy James Horrigan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245333848 PECOS PAC ID: 7517091903 Enrollment ID: I20100820000607 |
| Provider Name | David A Ginnebaugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306952767 PECOS PAC ID: 2163614934 Enrollment ID: I20101012000782 |
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