| Allenwood Family Health Care, Pc | |
|
11368 Allen Rd Taylor MI 48180-4372 | |
| (734) 403-2222 | |
| (734) 403-2400 |
| Full Name | Allenwood Family Health Care, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 11368 Allen Rd, Taylor, Michigan |
| Authorized Official Name and Position | Tiffini Ann Jones (OFFICE MANAGER) |
| Authorized Official Contact | 7344032222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allenwood Family Health Care, Pc 11368 Allen Rd Taylor MI 48180-4372 Ph: (734) 403-2222 | Allenwood Family Health Care, Pc 11368 Allen Rd Taylor MI 48180-4372 Ph: (734) 403-2222 |
| NPI Number | 1578610580 |
|---|---|
| Provider Enumeration Date | 01/04/2007 |
| Last Update Date | 06/21/2018 |
| Medicare PECOS PAC ID | 2567483837 |
|---|---|
| Medicare Enrollment ID | O20051214000491 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578610580 | NPI | - | NPPES |
| 4517442-11 | Medicaid | MI | |
| 4517451-11 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Harvey Minkin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083667430 PECOS PAC ID: 9234197138 Enrollment ID: I20041223000118 |
| Provider Name | Mark Brian Wein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760462964 PECOS PAC ID: 5092736363 Enrollment ID: I20100826001039 |
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