| 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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