| Wally S. Mahar, M.d. P.l.l.c. | |
|
21 Midland St Highland Park MI 48203-3727 | |
| (586) 556-1997 | |
| (313) 731-7025 |
| Full Name | Wally S. Mahar, M.d. P.l.l.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 21 Midland St, Highland Park, Michigan |
| Authorized Official Name and Position | Wally Sherman Mahar (C.E.O CHAIRMAN OF THE BOARD OF DIRE) |
| Authorized Official Contact | 5865561997 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wally S. Mahar, M.d. P.l.l.c. 21 Midland St Highland Park MI 48203-3727 Ph: (586) 556-1997 | Wally S. Mahar, M.d. P.l.l.c. 21 Midland St Highland Park MI 48203-3727 Ph: (586) 556-1997 |
| NPI Number | 1578862645 |
|---|---|
| Provider Enumeration Date | 03/15/2011 |
| Last Update Date | 12/18/2023 |
| Medicare PECOS PAC ID | 7810172277 |
|---|---|
| Medicare Enrollment ID | O20110428000222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578862645 | NPI | - | NPPES |
| 4301030215 | Other | MI | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301030215 (Michigan) | Primary |
| Provider Name | Wally S Mahar |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1790730497 PECOS PAC ID: 7719938729 Enrollment ID: I20050208000272 |
Highland Park Medical Center, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15119 Woodward Ave, Highland Park, MI 48203 Phone: 313-865-2020 | |
Highland Park Health Ctr Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13111 Woodward Ave, Highland Park, MI 48203 Phone: 313-865-2800 Fax: 313-866-6661 | |
S.a.y Detroit Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 Glendale St Ste 1000, Highland Park, MI 48203 Phone: 313-758-6100 | |
Preferred Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 Glendale St Ste 200, Highland Park, MI 48203 Phone: 313-564-8930 Fax: 313-564-8933 | |
Preferred Medical Professionals, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 Glendale St, Suite 323, Highland Park, MI 48203 Phone: 313-564-8930 Fax: 313-564-8933 | |
Jagneswar Saha Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 Alendale, Suite 200, Highland Park, MI 48203 Phone: 313-865-2020 Fax: 313-866-2413 |