| Washington Family Medicine | |
|
8180 26 Mile Rd Ste 100 Shelby Township MI 48316-5129 | |
| (586) 336-7321 | |
| (586) 336-7356 |
| Full Name | Washington Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 8180 26 Mile Rd Ste 100, Shelby Township, Michigan |
| Authorized Official Name and Position | David Calton (OWNER/PRESIDENT) |
| Authorized Official Contact | 5863367321 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington Family Medicine 8180 26 Mile Rd Ste 100 Shelby Township MI 48316-5129 Ph: (586) 336-7321 | Washington Family Medicine 8180 26 Mile Rd Ste 100 Shelby Township MI 48316-5129 Ph: (586) 336-7321 |
| NPI Number | 1407185366 |
|---|---|
| Provider Enumeration Date | 12/23/2009 |
| Last Update Date | 11/22/2019 |
| Medicare PECOS PAC ID | 8527194950 |
|---|---|
| Medicare Enrollment ID | O20100324001180 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407185366 | NPI | - | NPPES |
| 0E00911 | Other | MI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Michigan) | Primary |
| Provider Name | David W Calton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932168127 PECOS PAC ID: 7719942960 Enrollment ID: I20041130000069 |
| Provider Name | Taryn N Ostrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083202923 PECOS PAC ID: 4486068921 Enrollment ID: I20210125002592 |
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