| Strength & Health Medical Pc | |
|
1305 N Oakland Blvd Waterford MI 48327-1547 | |
| (248) 857-7583 | |
| Not Available |
| Full Name | Strength & Health Medical Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1305 N Oakland Blvd, Waterford, Michigan |
| Authorized Official Name and Position | Peggy Hagen (PROVIDER ENROLLMENT SPECIALIST) |
| Authorized Official Contact | 2488577583 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Strength & Health Medical Pc 1305 N Oakland Blvd Waterford MI 48327-1547 Ph: (248) 857-7583 | Strength & Health Medical Pc 1305 N Oakland Blvd Waterford MI 48327-1547 Ph: (248) 857-7583 |
| NPI Number | 1881874923 |
|---|---|
| Provider Enumeration Date | 11/06/2007 |
| Last Update Date | 11/06/2007 |
| Medicare PECOS PAC ID | 1355423781 |
|---|---|
| Medicare Enrollment ID | O20080124000331 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881874923 | NPI | - | NPPES |
| 4301081689 | Other | MI | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301081689 (Michigan) | Primary |
| Provider Name | Gary Lee Ruelle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831280080 PECOS PAC ID: 1153320262 Enrollment ID: I20061218000326 |
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