Quality Family Group Plc | |
18254 Livernois Ave Detroit MI 48221-4214 | |
(313) 732-1015 | |
Not Available |
Full Name | Quality Family Group Plc |
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Speciality | Family Medicine |
Location | 18254 Livernois Ave, Detroit, Michigan |
Authorized Official Name and Position | Herbert Isaac (MEDICAL DIRECTOR) |
Authorized Official Contact | 3133337944 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Quality Family Group Plc 18462 Pierre Dr Clinton Township MI 48038-1261 Ph: () - | Quality Family Group Plc 18254 Livernois Ave Detroit MI 48221-4214 Ph: (313) 732-1015 |
NPI Number | 1982255196 |
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Provider Enumeration Date | 09/28/2019 |
Last Update Date | 09/28/2019 |
Medicare PECOS PAC ID | 7719313857 |
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Medicare Enrollment ID | O20200207001253 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982255196 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
Provider Name | Lisa R Gnas |
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Provider Type | Practitioner - Osteopathic Manipulative Medicine |
Provider Identifiers | NPI Number: 1437318243 PECOS PAC ID: 7810063542 Enrollment ID: I20080904000179 |
Provider Name | Almeta M Andary |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477987188 PECOS PAC ID: 6204066343 Enrollment ID: I20140311000980 |
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