| Schaefer Medical Center Dearborn Plc | |
|
5245 Schaefer Rd Suite A Dearborn MI 48126-3257 | |
| (313) 624-0000 | |
| (313) 624-0063 |
| Full Name | Schaefer Medical Center Dearborn Plc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5245 Schaefer Rd, Dearborn, Michigan |
| Authorized Official Name and Position | Nesrene Ghani (OWNER) |
| Authorized Official Contact | 3136240000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Schaefer Medical Center Dearborn Plc 5245 Schaefer Rd Suite A Dearborn MI 48126-3257 Ph: (313) 624-0000 | Schaefer Medical Center Dearborn Plc 5245 Schaefer Rd Suite A Dearborn MI 48126-3257 Ph: (313) 624-0000 |
| NPI Number | 1790840379 |
|---|---|
| Provider Enumeration Date | 12/26/2006 |
| Last Update Date | 07/31/2015 |
| Medicare PECOS PAC ID | 5193788008 |
|---|---|
| Medicare Enrollment ID | O20041110001072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790840379 | NPI | - | NPPES |
| 4301055729 | Other | MI | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301055729 (Michigan) | Primary |
| Provider Name | Nesrene Ghani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316998693 PECOS PAC ID: 3173507720 Enrollment ID: I20040614000550 |
Infinity Visiting Physicians Associate Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5245 Schaefer Rd Ste D, Dearborn, MI 48126 Phone: 248-862-5311 | |
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