| Atchoo Medical Practice Pllc | |
|
4515 Highland Rd Waterford MI 48328-1172 | |
| (989) 506-0400 | |
| Not Available |
| Full Name | Atchoo Medical Practice Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4515 Highland Rd, Waterford, Michigan |
| Authorized Official Name and Position | Faris Atchoo (OWNER) |
| Authorized Official Contact | 9895060400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atchoo Medical Practice Pllc 4515 Highland Rd Waterford MI 48328-1172 Ph: (248) 383-8172 | Atchoo Medical Practice Pllc 4515 Highland Rd Waterford MI 48328-1172 Ph: (989) 506-0400 |
| NPI Number | 1033594106 |
|---|---|
| Provider Enumeration Date | 07/29/2015 |
| Last Update Date | 05/17/2016 |
| Medicare PECOS PAC ID | 4385944479 |
|---|---|
| Medicare Enrollment ID | O20151120002262 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033594106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Faris P Atchoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467530428 PECOS PAC ID: 9739212457 Enrollment ID: I20100802000875 |
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