| Ultimate Medical Care Plc | |
|
20755 Greenfield Rd Ste 100 Southfield MI 48075-5400 | |
| (947) 282-5009 | |
| (248) 809-2319 |
| Full Name | Ultimate Medical Care Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 20755 Greenfield Rd Ste 100, Southfield, Michigan |
| Authorized Official Name and Position | Derrick Williamson (PHYSICIAN/OWNER) |
| Authorized Official Contact | 9472825009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ultimate Medical Care Plc 23031 Wrexford Dr Southfield MI 48033-6575 Ph: (248) 417-9822 | Ultimate Medical Care Plc 20755 Greenfield Rd Ste 100 Southfield MI 48075-5400 Ph: (947) 282-5009 |
| NPI Number | 1063120244 |
|---|---|
| Provider Enumeration Date | 11/07/2022 |
| Last Update Date | 05/22/2023 |
| Medicare PECOS PAC ID | 8123493806 |
|---|---|
| Medicare Enrollment ID | O20230411002017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063120244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Derrick Anthony Williamson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215922059 PECOS PAC ID: 3173605805 Enrollment ID: I20080201000541 |
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