| Robert K. Brateman, Md,pc | |
|
40015 Grand River Ave Suite 100 Novi MI 48375-2160 | |
| (248) 473-8580 | |
| (248) 474-4208 |
| Full Name | Robert K. Brateman, Md,pc |
|---|---|
| Speciality | Family Medicine |
| Location | 40015 Grand River Ave, Novi, Michigan |
| Authorized Official Name and Position | Robert Keith Brateman (OWNER) |
| Authorized Official Contact | 2484738580 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert K. Brateman, Md,pc 40015 Grand River Ave Suite 100 Novi MI 48375-2160 Ph: (248) 473-8580 | Robert K. Brateman, Md,pc 40015 Grand River Ave Suite 100 Novi MI 48375-2160 Ph: (248) 473-8580 |
| NPI Number | 1982772752 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 10/13/2010 |
| Medicare PECOS PAC ID | 4486703428 |
|---|---|
| Medicare Enrollment ID | O20090521000138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982772752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301042662 (Michigan) | Primary |
| Provider Name | Robert Keith Brateman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548224769 PECOS PAC ID: 2860541802 Enrollment ID: I20090521000128 |
| Provider Name | Olga A Mondrusova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689638330 PECOS PAC ID: 3577758408 Enrollment ID: I20101117000520 |
| Provider Name | Fallon M Kapatais |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477811925 PECOS PAC ID: 0941529101 Enrollment ID: I20150826001447 |
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