| Prechel Family Clinic, Pc | |
|
16551 W Warren Ave Detroit MI 48228-3706 | |
| (313) 584-3624 | |
| (313) 584-8060 |
| Full Name | Prechel Family Clinic, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 16551 W Warren Ave, Detroit, Michigan |
| Authorized Official Name and Position | Willim P Prechel (OWNER) |
| Authorized Official Contact | 3135843624 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prechel Family Clinic, Pc 16551 W Warren Ave Detroit MI 48228-3706 Ph: (313) 584-3624 | Prechel Family Clinic, Pc 16551 W Warren Ave Detroit MI 48228-3706 Ph: (313) 584-3624 |
| NPI Number | 1487814158 |
|---|---|
| Provider Enumeration Date | 06/16/2008 |
| Last Update Date | 12/23/2013 |
| Medicare PECOS PAC ID | 2860567773 |
|---|---|
| Medicare Enrollment ID | O20080812000469 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487814158 | NPI | - | NPPES |
| 1294700 | Medicaid | MI | |
| E26901 | Other | MI | UPIN |
| 0858210715 | Other | MI | BLUE CROSS BLUE SHIELD OF MICHIGAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | WP5101006899 (Michigan) | Primary |
| Provider Name | William Peter Prechel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912903139 PECOS PAC ID: 4789759697 Enrollment ID: I20080812000374 |
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