| Firsthand Health Of Michigan, P.c. | |
|
7445 Allen Rd Ste 270 Allen Park MI 48101-1963 | |
| (844) 348-4263 | |
| Not Available |
| Full Name | Firsthand Health Of Michigan, P.c. |
|---|---|
| Speciality | General Practice |
| Location | 7445 Allen Rd Ste 270, Allen Park, Michigan |
| Authorized Official Name and Position | Laura Purdy (OWNER) |
| Authorized Official Contact | 2014745844 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Firsthand Health Of Michigan, P.c. 1032 E Brandon Blvd Ste 4567 Brandon FL 33511-5509 Ph: (201) 474-5844 | Firsthand Health Of Michigan, P.c. 7445 Allen Rd Ste 270 Allen Park MI 48101-1963 Ph: (844) 348-4263 |
| NPI Number | 1184402745 |
|---|---|
| Provider Enumeration Date | 09/15/2023 |
| Last Update Date | 04/21/2025 |
| Certification Date | 04/21/2025 |
| Medicare PECOS PAC ID | 0547615650 |
|---|---|
| Medicare Enrollment ID | O20231010001906 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184402745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Norris C Polk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841445640 PECOS PAC ID: 5597812388 Enrollment ID: I20090414000366 |
| Provider Name | Tera Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174081632 PECOS PAC ID: 1355776543 Enrollment ID: I20240205000689 |
| Provider Name | Joseph Parks |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1003898495 PECOS PAC ID: 5496668204 Enrollment ID: I20240205002745 |
| Provider Name | Ashlee Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962874230 PECOS PAC ID: 4880941012 Enrollment ID: I20240205004268 |
| Provider Name | Kandace Dalton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417430190 PECOS PAC ID: 1557615465 Enrollment ID: I20240301000327 |
| Provider Name | Logan Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235796285 PECOS PAC ID: 7810341450 Enrollment ID: I20240626000768 |
| Provider Name | Amanda Wright-brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982013751 PECOS PAC ID: 8921229584 Enrollment ID: I20240820001134 |
| Provider Name | Tabitha Rutter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881942233 PECOS PAC ID: 6002139169 Enrollment ID: I20241115003175 |
| Provider Name | Melissa Broughton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376153494 PECOS PAC ID: 2264847649 Enrollment ID: I20241202001622 |
| Provider Name | Davis M Stephen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750769154 PECOS PAC ID: 3577853183 Enrollment ID: I20250203000747 |
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