| Taylor International Medicine Associates | |
|
23300 Ecorse Rd Taylor MI 48180-1768 | |
| (313) 291-9500 | |
| (313) 291-9516 |
| Full Name | Taylor International Medicine Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 23300 Ecorse Rd, Taylor, Michigan |
| Authorized Official Name and Position | Linda Fesko (OFFICE MANAGER) |
| Authorized Official Contact | 3132919500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor International Medicine Associates 23300 Ecorse Rd Taylor MI 48180-1768 Ph: (313) 291-9500 | Taylor International Medicine Associates 23300 Ecorse Rd Taylor MI 48180-1768 Ph: (313) 291-9500 |
| NPI Number | 1851831929 |
|---|---|
| Provider Enumeration Date | 03/08/2017 |
| Last Update Date | 03/08/2017 |
| Medicare PECOS PAC ID | 6507142387 |
|---|---|
| Medicare Enrollment ID | O20170410001473 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851831929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301060555 (Michigan) | Primary |
| Provider Name | Viorel C Lupu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760468490 PECOS PAC ID: 0143298091 Enrollment ID: I20040920000802 |
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