| Stamatin Internal Medicine Pc | |
|
330 W Tienken Rd Suite C Rochester Hills MI 48306-4474 | |
| (248) 651-2620 | |
| (248) 651-9450 |
| Full Name | Stamatin Internal Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 330 W Tienken Rd, Rochester Hills, Michigan |
| Authorized Official Name and Position | Rica Stamatin (OWNER) |
| Authorized Official Contact | 2486512620 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stamatin Internal Medicine Pc 330 W Tienken Rd Suite C Rochester Hills MI 48306-4474 Ph: (248) 651-2620 | Stamatin Internal Medicine Pc 330 W Tienken Rd Suite C Rochester Hills MI 48306-4474 Ph: (248) 651-2620 |
| NPI Number | 1356426506 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 09/24/2008 |
| Medicare PECOS PAC ID | 5294796538 |
|---|---|
| Medicare Enrollment ID | O20041020001108 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356426506 | NPI | - | NPPES |
| DD4492 | Other | MEDICARE RR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Rica C Stamatin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316937071 PECOS PAC ID: 2163483405 Enrollment ID: I20041021000214 |
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