| Twin Lakes Medical Associates, P.c. | |
|
43700 Woodward Avenue Suite 206 Bloomfield Hills MI 48302 | |
| (248) 451-0668 | |
| (248) 451-0672 |
| Full Name | Twin Lakes Medical Associates, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 43700 Woodward Avenue, Bloomfield Hills, Michigan |
| Authorized Official Name and Position | Ted Miklas (PHYSICIAN) |
| Authorized Official Contact | 2484510668 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Twin Lakes Medical Associates, P.c. 43700 Woodward Avenue Suite 206 Bloomfield Hills MI 48302 Ph: (248) 451-0668 | Twin Lakes Medical Associates, P.c. 43700 Woodward Avenue Suite 206 Bloomfield Hills MI 48302 Ph: (248) 451-0668 |
| NPI Number | 1053338038 |
|---|---|
| Provider Enumeration Date | 07/16/2006 |
| Last Update Date | 11/21/2014 |
| Medicare PECOS PAC ID | 2668579673 |
|---|---|
| Medicare Enrollment ID | O20070525000025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053338038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301405466 (Michigan) | Primary |
| Provider Name | Ted Miklas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891712873 PECOS PAC ID: 8022115039 Enrollment ID: I20070525000021 |
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