South Lyon Family Docs Pc | |
26006 Pontiac Trl South Lyon MI 48178-8050 | |
(248) 437-5613 | |
(248) 437-5694 |
Full Name | South Lyon Family Docs Pc |
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Speciality | Family Medicine |
Location | 26006 Pontiac Trl, South Lyon, Michigan |
Authorized Official Name and Position | Brandy Eberhardt (PHYSICIAN) |
Authorized Official Contact | 2484375613 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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South Lyon Family Docs Pc 26006 Pontiac Trl South Lyon MI 48178-8050 Ph: () - | South Lyon Family Docs Pc 26006 Pontiac Trl South Lyon MI 48178-8050 Ph: (248) 437-5613 |
NPI Number | 1619266442 |
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Provider Enumeration Date | 04/01/2011 |
Last Update Date | 06/01/2016 |
Medicare PECOS PAC ID | 6507035904 |
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Medicare Enrollment ID | O20110801000422 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619266442 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5101016493 (Michigan) | Primary |
Provider Name | Brandy A Eberhardt |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871705129 PECOS PAC ID: 2961563226 Enrollment ID: I20081204000505 |
Provider Name | Micah N Scharer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952513210 PECOS PAC ID: 6204997976 Enrollment ID: I20081212000698 |
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