Rts And Associates | |
21701 W 11 Mile Rd Ste 5 Southfield MI 48076-3713 | |
(313) 622-4006 | |
Not Available |
Full Name | Rts And Associates |
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Speciality | Family Medicine |
Location | 21701 W 11 Mile Rd Ste 5, Southfield, Michigan |
Authorized Official Name and Position | Candace L Hurst (OWNER) |
Authorized Official Contact | 2487577587 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rts And Associates 21701 W 11 Mile Rd Ste 5 Southfield MI 48076-3713 Ph: (313) 757-7587 | Rts And Associates 21701 W 11 Mile Rd Ste 5 Southfield MI 48076-3713 Ph: (313) 622-4006 |
NPI Number | 1063045839 |
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Provider Enumeration Date | 02/19/2020 |
Last Update Date | 12/03/2022 |
Medicare PECOS PAC ID | 9537578877 |
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Medicare Enrollment ID | O20210517002180 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063045839 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
Provider Name | Candace Hurst |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962984823 PECOS PAC ID: 6406159383 Enrollment ID: I20200508001034 |
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