| Sterling Heights Medical Center, Pc | |
|
11600 15 Mile Rd Sterling Heights MI 48312-5100 | |
| (586) 939-3020 | |
| (586) 939-2191 |
| Full Name | Sterling Heights Medical Center, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 11600 15 Mile Rd, Sterling Heights, Michigan |
| Authorized Official Name and Position | Kimberly Krzysik (OFFICE MANAGER) |
| Authorized Official Contact | 5869393020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sterling Heights Medical Center, Pc 11600 15 Mile Rd Sterling Heights MI 48312-5100 Ph: (586) 939-3020 | Sterling Heights Medical Center, Pc 11600 15 Mile Rd Sterling Heights MI 48312-5100 Ph: (586) 939-3020 |
| NPI Number | 1912079211 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2567522154 |
|---|---|
| Medicare Enrollment ID | O20081201000321 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912079211 | NPI | - | NPPES |
| 1324783 | Medicaid | MI | |
| 1324792 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DC005678 (Michigan) | Primary |
| Provider Name | Donald D Cucchi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326039116 PECOS PAC ID: 1658343017 Enrollment ID: I20050405000931 |
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