| Dasher Family Medicine | |
|
45211 Cherry Hill Rd Canton MI 48188-1001 | |
| (734) 664-6147 | |
| (734) 769-0045 |
| Full Name | Dasher Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 45211 Cherry Hill Rd, Canton, Michigan |
| Authorized Official Name and Position | Pamela L Dasher (OWNER) |
| Authorized Official Contact | 7346646147 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dasher Family Medicine 50769 Snowmass Ct Canton MI 48187-7716 Ph: (734) 664-6147 | Dasher Family Medicine 45211 Cherry Hill Rd Canton MI 48188-1001 Ph: (734) 664-6147 |
| NPI Number | 1508571068 |
|---|---|
| Provider Enumeration Date | 01/19/2023 |
| Last Update Date | 03/29/2023 |
| Certification Date | 03/29/2023 |
| Medicare PECOS PAC ID | 9830564558 |
|---|---|
| Medicare Enrollment ID | O20230412000369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508571068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Pamela L Dasher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952378358 PECOS PAC ID: 2961417233 Enrollment ID: I20060208000598 |
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