| Triple T Medical Pc | |
|
17187 Schaefer Hwy Detroit MI 48235-4132 | |
| (313) 342-9255 | |
| (313) 342-8489 |
| Full Name | Triple T Medical Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 17187 Schaefer Hwy, Detroit, Michigan |
| Authorized Official Name and Position | Leonard Ellison (OWNER) |
| Authorized Official Contact | 3133429255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Triple T Medical Pc 17187 Schaefer Hwy Detroit MI 48235-4132 Ph: (313) 342-9255 | Triple T Medical Pc 17187 Schaefer Hwy Detroit MI 48235-4132 Ph: (313) 342-9255 |
| NPI Number | 1942539598 |
|---|---|
| Provider Enumeration Date | 12/10/2009 |
| Last Update Date | 06/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942539598 | NPI | - | NPPES |
| 500H258510 | Other | MI | BCBS NP GROUP NUMBER |
| 700H258460 | Other | MI | BCBS GROUP |
| 1942539598 | Medicaid | MI |
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