| Stephen J. Watts, Md, Pllc | |
|
3333 Biddle Suite 1d Wyandotte MI 48192 | |
| (734) 285-2405 | |
| (734) 285-2435 |
| Full Name | Stephen J. Watts, Md, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3333 Biddle, Wyandotte, Michigan |
| Authorized Official Name and Position | Stephen Joseph Watts (OWNER) |
| Authorized Official Contact | 7342852405 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen J. Watts, Md, Pllc 3333 Biddle Suite 1d Wyandotte MI 48192 Ph: (734) 285-2405 | Stephen J. Watts, Md, Pllc 3333 Biddle Suite 1d Wyandotte MI 48192 Ph: (734) 285-2405 |
| NPI Number | 1548352412 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6103894621 |
|---|---|
| Medicare Enrollment ID | O20040922000940 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548352412 | NPI | - | NPPES |
| DC2598 | Other | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Stephen J Watts |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639261506 PECOS PAC ID: 7911975438 Enrollment ID: I20040923000065 |
| Provider Name | Bridget A Bonello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184942138 PECOS PAC ID: 2062536675 Enrollment ID: I20100903000388 |
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