Minuteclinic Diagnostic Of Michigan Pc | |
39350 9 Mile Rd Northville MI 48167-9164 | |
(866) 389-2727 | |
(401) 406-3539 |
Full Name | Minuteclinic Diagnostic Of Michigan Pc |
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Speciality | Nurse Practitioner |
Location | 39350 9 Mile Rd, Northville, Michigan |
Authorized Official Name and Position | Deborah Pincince (ADMINISTRATOR) |
Authorized Official Contact | 4017703813 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Minuteclinic Diagnostic Of Michigan Pc Po Box 772 Minuteclinic Credentialing Woonsocket RI 02895-0784 Ph: (866) 389-2727 | Minuteclinic Diagnostic Of Michigan Pc 39350 9 Mile Rd Northville MI 48167-9164 Ph: (866) 389-2727 |
NPI Number | 1902848617 |
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Provider Enumeration Date | 06/10/2006 |
Last Update Date | 02/26/2024 |
Certification Date | 02/26/2024 |
Medicare PECOS PAC ID | 9133123755 |
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Medicare Enrollment ID | O20060912000584 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902848617 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
Provider Name | Bridget Ann Sterk |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124003058 PECOS PAC ID: 4789683970 Enrollment ID: I20061218000068 |
Provider Name | Denise J Neubauer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487749578 PECOS PAC ID: 6901807908 Enrollment ID: I20070117000439 |
Provider Name | Deborah Ann Bailey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629170089 PECOS PAC ID: 3476554387 Enrollment ID: I20070119000290 |
Provider Name | Romika T Glenn |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346550753 PECOS PAC ID: 0446428189 Enrollment ID: I20110722000426 |
Provider Name | Catherine L Polito |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629322433 PECOS PAC ID: 0143474841 Enrollment ID: I20130205000378 |
Provider Name | Kimberly D Page |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326388448 PECOS PAC ID: 4385881903 Enrollment ID: I20130518000073 |
Provider Name | Julie Piche |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235562851 PECOS PAC ID: 1355578378 Enrollment ID: I20131219001841 |
Provider Name | Robin Oliver |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912167263 PECOS PAC ID: 7517030885 Enrollment ID: I20140415001026 |
Provider Name | Sarah L Otten |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023429586 PECOS PAC ID: 1254555733 Enrollment ID: I20140624002494 |
Provider Name | Lindsi A Shaw |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245513282 PECOS PAC ID: 6800012113 Enrollment ID: I20140723000309 |
Provider Name | Megan L Kaliszewski |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922417161 PECOS PAC ID: 9335367093 Enrollment ID: I20140821002815 |
Provider Name | Lisa M Ramesbottom |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174967533 PECOS PAC ID: 4789998469 Enrollment ID: I20150810000655 |
Provider Name | Audra P Collins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659766012 PECOS PAC ID: 8224330386 Enrollment ID: I20160106000855 |
Provider Name | Steven Pavloski |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447611553 PECOS PAC ID: 0244538213 Enrollment ID: I20160408000126 |
Provider Name | Dana L Knoll |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518460484 PECOS PAC ID: 3870841638 Enrollment ID: I20180810000426 |
Provider Name | Justin J Peklo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750876181 PECOS PAC ID: 3274882550 Enrollment ID: I20180820002294 |
Provider Name | Sean M Sullivan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063906071 PECOS PAC ID: 4183973175 Enrollment ID: I20180824000785 |
Provider Name | Adriene Avripas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790296010 PECOS PAC ID: 4385996677 Enrollment ID: I20181015003508 |
Provider Name | Dominique R Delcourt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700359957 PECOS PAC ID: 4789920422 Enrollment ID: I20190116003259 |
Provider Name | Charli Marie Souza |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477193134 PECOS PAC ID: 3375972441 Enrollment ID: I20200413000197 |
Provider Name | Teresa Pfaff |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417581497 PECOS PAC ID: 2062834476 Enrollment ID: I20200611002675 |
Provider Name | Allyssa Boddy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720562010 PECOS PAC ID: 8426473588 Enrollment ID: I20200806000816 |
Provider Name | Erika Leone |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902422264 PECOS PAC ID: 3274959143 Enrollment ID: I20200824000194 |
Provider Name | Amanda N O'rourke |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750963203 PECOS PAC ID: 7214338672 Enrollment ID: I20210623002645 |
Provider Name | Chelsea Mansour |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801489133 PECOS PAC ID: 2860881653 Enrollment ID: I20211117000450 |
Provider Name | Navil Maria Noguera |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1992377436 PECOS PAC ID: 4880084631 Enrollment ID: I20211209001472 |
Provider Name | Stephanie Carey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184384646 PECOS PAC ID: 1355732132 Enrollment ID: I20220105002217 |
Provider Name | Lori Jackson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972526499 PECOS PAC ID: 5193743326 Enrollment ID: I20220510000149 |
Provider Name | Karen Morrissey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669867339 PECOS PAC ID: 6709169360 Enrollment ID: I20220510000178 |
Provider Name | Michael D Young |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205181054 PECOS PAC ID: 4688826373 Enrollment ID: I20220510000192 |
Provider Name | Amber Yoder |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114326741 PECOS PAC ID: 0446575765 Enrollment ID: I20220510000206 |
Provider Name | Gina Leonard-ziino |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467904607 PECOS PAC ID: 0749528388 Enrollment ID: I20220510000209 |
Provider Name | Mireille Dziuk |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669993473 PECOS PAC ID: 3870853542 Enrollment ID: I20220510000346 |
Provider Name | Tamara Shields |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568422970 PECOS PAC ID: 1658260450 Enrollment ID: I20220517002740 |
Provider Name | Jacquana D Dowson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922404516 PECOS PAC ID: 7517280126 Enrollment ID: I20220701000978 |
Provider Name | Alexandra M Agapiou |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205567864 PECOS PAC ID: 5395126080 Enrollment ID: I20220712003410 |
Provider Name | Amanvir Dhanoa |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588064497 PECOS PAC ID: 9133349988 Enrollment ID: I20220722002762 |
Provider Name | Jamie Boyd |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093300493 PECOS PAC ID: 6608258991 Enrollment ID: I20220803001486 |
Provider Name | Caroline S Baker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043952567 PECOS PAC ID: 2365826138 Enrollment ID: I20220827000150 |
Provider Name | Manit Pahuja |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124768361 PECOS PAC ID: 7416326855 Enrollment ID: I20221207001543 |
Provider Name | Mackenzie Meredith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144940149 PECOS PAC ID: 2567831829 Enrollment ID: I20221207003108 |
Provider Name | Nancy Duong |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285115980 PECOS PAC ID: 2567794944 Enrollment ID: I20230202001842 |
Provider Name | Angela Smith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811693997 PECOS PAC ID: 9335512532 Enrollment ID: I20230309001642 |
Provider Name | Stefanie Johnson-sykes |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265855308 PECOS PAC ID: 9436377827 Enrollment ID: I20230313000553 |
Provider Name | Tiffany N Jones |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932792843 PECOS PAC ID: 2567823115 Enrollment ID: I20230731001633 |
Provider Name | Morgan Rowell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942853775 PECOS PAC ID: 2769712348 Enrollment ID: I20231025000750 |
Provider Name | Brittany Gyorfi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386072361 PECOS PAC ID: 5991923955 Enrollment ID: I20231030003208 |
Provider Name | Darcy K Mccarty |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659710168 PECOS PAC ID: 0446552491 Enrollment ID: I20240425004067 |
Provider Name | Paras Seehar |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1841942455 PECOS PAC ID: 2264875244 Enrollment ID: I20240503000391 |
Provider Name | Madeline Teixeira |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1558038836 PECOS PAC ID: 3072919471 Enrollment ID: I20240703000918 |
Provider Name | Patrice Early |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1952001331 PECOS PAC ID: 7012370430 Enrollment ID: I20240703001109 |
Provider Name | Marisa Konzer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760229108 PECOS PAC ID: 2466992250 Enrollment ID: I20240906003781 |
Provider Name | Franchesca Hammond |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922424050 PECOS PAC ID: 0143445999 Enrollment ID: I20241030001478 |
Provider Name | Joseph Isagba |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609488147 PECOS PAC ID: 9133539885 Enrollment ID: I20241106003009 |
Provider Name | Jill Pressnell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538564893 PECOS PAC ID: 9931423019 Enrollment ID: I20241106004121 |
Provider Name | Anjelica Sporer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881460814 PECOS PAC ID: 7810425089 Enrollment ID: I20250115003459 |
Provider Name | Alicia Quayson |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1376275107 PECOS PAC ID: 6406209436 Enrollment ID: I20250205003167 |
Provider Name | Cynthia Kandaya |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1366095556 PECOS PAC ID: 2466849849 Enrollment ID: I20250211003858 |
Provider Name | Ryan Fuson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427210061 PECOS PAC ID: 3274692819 Enrollment ID: I20250220003361 |
Provider Name | Brittney Afram |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750990875 PECOS PAC ID: 0143632661 Enrollment ID: I20250306001478 |
Provider Name | Mikaela Rubenstein |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285003277 PECOS PAC ID: 7315248119 Enrollment ID: I20250312001370 |
Cheryl Lynn Podolski Phd Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 339 N Center St, Northville, MI 48167 Phone: 248-974-6449 | |
Dashi Rivers Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 41820 6 Mile Rd Ste 101, Northville, MI 48168 Phone: 734-239-8931 | |
Balanced Harmony Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 42649 Savoy Ct, Northville, MI 48167 Phone: 248-231-2294 | |
Compass Family Support Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 21800 Haggerty Rd, Suite 205, Northville, MI 48167 Phone: 248-773-4560 Fax: 248-735-1010 | |
Rheanna Graver Llmsw Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17353 Hidden Lake Way, Northville, MI 48168 Phone: 269-718-4714 | |
Diane G Russell Therapy Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 640 Griswold St, Suite 300, Northville, MI 48167 Phone: 248-996-5383 Fax: 586-773-6093 | |
Raveau Psychology Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19202 Windridge Dr, Northville, MI 48167 Phone: 248-605-5402 |