| Van Dyke Medical Center P C | |
|
624 E 9 Mile Rd Hazel Park MI 48030-1842 | |
| (248) 541-2800 | |
| (248) 548-5385 |
| Full Name | Van Dyke Medical Center P C |
|---|---|
| Speciality | Family Medicine |
| Location | 624 E 9 Mile Rd, Hazel Park, Michigan |
| Authorized Official Name and Position | Mohammed Sirajul Haq (OWNER) |
| Authorized Official Contact | 3138198155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Van Dyke Medical Center P C 624 E 9 Mile Rd Hazel Park MI 48030-1842 Ph: (248) 541-2800 | Van Dyke Medical Center P C 624 E 9 Mile Rd Hazel Park MI 48030-1842 Ph: (248) 541-2800 |
| NPI Number | 1437392552 |
|---|---|
| Provider Enumeration Date | 04/20/2009 |
| Last Update Date | 06/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437392552 | NPI | - | NPPES |
| MH045683 | Other | LICENSE NUMBER | |
| 4483371-10 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MH045683 (Michigan) | Primary |
Bi-county Health Care Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 116 W 8 Mile Rd, Hazel Park, MI 48030 Phone: 248-541-7606 Fax: 248-541-7197 | |
Hazel Oark Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23411 John R Rd, Hazel Park, MI 48030 Phone: 248-399-8331 Fax: 248-399-3912 | |
Anha Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 704 E 9 Mile Rd, Hazel Park, MI 48030 Phone: 313-207-6210 | |
Hazel Park Urgent Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 624 E 9 Mile Rd, Hazel Park, MI 48030 Phone: 248-268-2566 Fax: 248-268-2560 | |
Bi-county Medical Center Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 W 8 Mile Rd, Hazel Park, MI 48030 Phone: 248-541-7606 Fax: 248-541-7197 | |
Yassa Pac Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 624 E 9 Mile Rd, Hazel Park, MI 48030 Phone: 248-629-7497 |