Tri City Geriatrics Inc | |
1070 E Caro Rd Caro MI 48723-1217 | |
(989) 672-0341 | |
(989) 672-0343 |
Full Name | Tri City Geriatrics Inc |
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Speciality | Internal Medicine |
Location | 1070 E Caro Rd, Caro, Michigan |
Authorized Official Name and Position | Arshad Aqil (OWNER) |
Authorized Official Contact | 9896720341 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tri City Geriatrics Inc 1070 E Caro Rd Caro MI 48723-1236 Ph: (989) 672-0341 | Tri City Geriatrics Inc 1070 E Caro Rd Caro MI 48723-1217 Ph: (989) 672-0341 |
NPI Number | 1174061014 |
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Provider Enumeration Date | 02/10/2017 |
Last Update Date | 01/30/2024 |
Medicare PECOS PAC ID | 2961786751 |
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Medicare Enrollment ID | O20170222001409 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174061014 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301067880 (Michigan) | Primary |
Provider Name | Arshad Aqil |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1083656599 PECOS PAC ID: 5193741692 Enrollment ID: I20051025000014 |
Provider Name | Becky A Fredenburg |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811313257 PECOS PAC ID: 6800019100 Enrollment ID: I20140513001627 |
Provider Name | Nikki Bruno |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194208868 PECOS PAC ID: 0446501993 Enrollment ID: I20180921000590 |
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