| Stay Home Wound Care Pc | |
|
26200 Town Center Dr Ste 165 Novi MI 48375-1219 | |
| (734) 646-2286 | |
| Not Available |
| Full Name | Stay Home Wound Care Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 26200 Town Center Dr Ste 165, Novi, Michigan |
| Authorized Official Name and Position | Amy B. Olson (PRACTICE MANAGER) |
| Authorized Official Contact | 2485133100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stay Home Wound Care Pc 26200 Town Center Dr Ste 165 Novi MI 48375-1219 Ph: (734) 646-2286 | Stay Home Wound Care Pc 26200 Town Center Dr Ste 165 Novi MI 48375-1219 Ph: (734) 646-2286 |
| NPI Number | 1174356422 |
|---|---|
| Provider Enumeration Date | 08/22/2024 |
| Last Update Date | 08/22/2024 |
| Medicare PECOS PAC ID | 2365982949 |
|---|---|
| Medicare Enrollment ID | O20240910002131 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174356422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | James A Joseph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083660229 PECOS PAC ID: 6800089988 Enrollment ID: I20160422001527 |
| Provider Name | Josilyn Elise Goebel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184107427 PECOS PAC ID: 5890046908 Enrollment ID: I20180927002650 |
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