| Primary Medical Services Pc | |
|
26711 Woodward Ave Ste 108 Huntington Woods MI 48070-1333 | |
| (248) 336-2008 | |
| (248) 721-8089 |
| Full Name | Primary Medical Services Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 26711 Woodward Ave, Huntington Woods, Michigan |
| Authorized Official Name and Position | Patrycja I Czesnowski (OWNER) |
| Authorized Official Contact | 5869257702 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Medical Services Pc 74321 Judges Ct Bruce Twp MI 48065-3125 Ph: (586) 925-7702 | Primary Medical Services Pc 26711 Woodward Ave Ste 108 Huntington Woods MI 48070-1333 Ph: (248) 336-2008 |
| NPI Number | 1265773022 |
|---|---|
| Provider Enumeration Date | 03/04/2013 |
| Last Update Date | 03/07/2013 |
| Medicare PECOS PAC ID | 7517105620 |
|---|---|
| Medicare Enrollment ID | O20130531000467 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265773022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301084438 (Michigan) | Primary |
| Provider Name | Patrycja I Czesnowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386831568 PECOS PAC ID: 1456404250 Enrollment ID: I20090727000389 |
Berkley Primary Care, Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 26711 Woodward Ave Ste 103, Huntington Woods, MI 48070 Phone: 248-543-6000 Fax: 248-543-3770 |