| Daisy Mae Family Medicine Pllc | |
|
20400 W Warren Ave Detroit MI 48228-3242 | |
| (313) 271-0500 | |
| (313) 271-9313 |
| Full Name | Daisy Mae Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 20400 W Warren Ave, Detroit, Michigan |
| Authorized Official Name and Position | Danielle Schramm (OWNER) |
| Authorized Official Contact | 3132710500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daisy Mae Family Medicine Pllc 20400 W Warren Ave Detroit MI 48228-3242 Ph: (313) 271-0500 | Daisy Mae Family Medicine Pllc 20400 W Warren Ave Detroit MI 48228-3242 Ph: (313) 271-0500 |
| NPI Number | 1043971922 |
|---|---|
| Provider Enumeration Date | 01/04/2022 |
| Last Update Date | 01/04/2022 |
| Medicare PECOS PAC ID | 0749672848 |
|---|---|
| Medicare Enrollment ID | O20220124000711 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043971922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Danielle M Schramm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134287592 PECOS PAC ID: 6507880788 Enrollment ID: I20060116000369 |
| Provider Name | Stephanie Marie Workman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124390331 PECOS PAC ID: 1254685597 Enrollment ID: I20181126002019 |
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