| Amd Primary Care, Pllc | |
| 
					7070 Miller Rd Suite A Swartz Creek MI 48473-1591  | |
| (810) 564-7995 | |
| Not Available | 
| Full Name | Amd Primary Care, Pllc | 
|---|---|
| Speciality | Family Medicine | 
| Location | 7070 Miller Rd, Swartz Creek, Michigan | 
| Authorized Official Name and Position | Paul A Massimino (COO) | 
| Authorized Official Contact | 8105647998 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Amd Primary Care, Pllc 7070 Miller Rd Suite A Swartz Creek MI 48473 Ph: (810) 564-7995  | Amd Primary Care, Pllc 7070 Miller Rd Suite A Swartz Creek MI 48473-1591 Ph: (810) 564-7995  | 
| NPI Number | 1568858504 | 
|---|---|
| Provider Enumeration Date | 04/07/2015 | 
| Last Update Date | 04/07/2015 | 
| Medicare PECOS PAC ID | 0547577884 | 
|---|---|
| Medicare Enrollment ID | O20150917002795 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1568858504 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary | 
| Provider Name | Robert K Brummeler | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1831205806 PECOS PAC ID: 3971602814 Enrollment ID: I20070619000221  | 
| Provider Name | Sergii Deich | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1073339313 PECOS PAC ID: 3476063314 Enrollment ID: I20250610001164  | 
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