| Waterford Teen Health Center | |
|
2989 Van Zandt Rd Waterford MI 48329-3360 | |
| (248) 674-4876 | |
| (248) 674-6349 |
| Full Name | Waterford Teen Health Center |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 2989 Van Zandt Rd, Waterford, Michigan |
| Authorized Official Name and Position | Brenda L Mcculloch (BILLING AND TA COORDINATOR) |
| Authorized Official Contact | 5179080847 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waterford Teen Health Center 2989 Van Zandt Rd Waterford MI 48329-3360 Ph: (248) 674-4876 | Waterford Teen Health Center 2989 Van Zandt Rd Waterford MI 48329-3360 Ph: (248) 674-4876 |
| NPI Number | 1184872400 |
|---|---|
| Provider Enumeration Date | 08/28/2008 |
| Last Update Date | 08/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184872400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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