| Corecare Medical Services. | |
|
6773 Stonebridge Ct West Bloomfield MI 48322-3268 | |
| (313) 330-1194 | |
| (248) 855-5543 |
| Full Name | Corecare Medical Services. |
|---|---|
| Speciality | Clinic/Center |
| Location | 6773 Stonebridge Ct, West Bloomfield, Michigan |
| Authorized Official Name and Position | Egerton Abulu (ADMINISTRATOR) |
| Authorized Official Contact | 3133301194 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Corecare Medical Services. 6773 Stonebridge Ct West Bloomfield MI 48322-3268 Ph: (313) 330-1194 | Corecare Medical Services. 6773 Stonebridge Ct West Bloomfield MI 48322-3268 Ph: (313) 330-1194 |
| NPI Number | 1336782994 |
|---|---|
| Provider Enumeration Date | 10/25/2019 |
| Last Update Date | 01/16/2020 |
| Medicare PECOS PAC ID | 9133555832 |
|---|---|
| Medicare Enrollment ID | O20200128001775 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336782994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Uaye Juliet Abai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457460222 PECOS PAC ID: 5193825883 Enrollment ID: I20200128001877 |
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