| Union Lake Medical Center Pc | |
|
1990 Union Lake Rd Ste 100 Commerce Township MI 48382-2200 | |
| (248) 363-7109 | |
| (248) 363-7211 |
| Full Name | Union Lake Medical Center Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1990 Union Lake Rd Ste 100, Commerce Township, Michigan |
| Authorized Official Name and Position | Rajat Daniel (OWNER) |
| Authorized Official Contact | 2483637109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Union Lake Medical Center Pc 1990 Union Lake Rd Ste 100 Commerce Township MI 48382-2200 Ph: (248) 363-7109 | Union Lake Medical Center Pc 1990 Union Lake Rd Ste 100 Commerce Township MI 48382-2200 Ph: (248) 363-7109 |
| NPI Number | 1801926738 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801926738 | NPI | - | NPPES |
| 3245750 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | RD060871 (Michigan) | Primary |
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