Advanced Pain Management Of Caro Pc | |
1800 W Caro Rd Ste 12 Caro MI 48723-8209 | |
(989) 359-6939 | |
Not Available |
Full Name | Advanced Pain Management Of Caro Pc |
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Speciality | Nurse Practitioner |
Location | 1800 W Caro Rd Ste 12, Caro, Michigan |
Authorized Official Name and Position | Matthew Denotter (OWNER) |
Authorized Official Contact | 2488947024 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Advanced Pain Management Of Caro Pc 1800 W Caro Rd Ste 12 Caro MI 48723-8209 Ph: (248) 894-7024 | Advanced Pain Management Of Caro Pc 1800 W Caro Rd Ste 12 Caro MI 48723-8209 Ph: (989) 359-6939 |
NPI Number | 1780454587 |
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Provider Enumeration Date | 01/03/2024 |
Last Update Date | 01/03/2024 |
Medicare PECOS PAC ID | 2264878289 |
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Medicare Enrollment ID | O20240313002076 |
Identifier | Type | State | Issuer |
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1780454587 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
Provider Name | Ramiro Antonio Perez De La Torre |
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Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1689909343 PECOS PAC ID: 6507271202 Enrollment ID: I20210210001174 |
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