| Deon D Middlebrook M D Pc | |
|
20176 Livernois Ave Detroit MI 48221-1346 | |
| (313) 864-3000 | |
| (313) 864-5423 |
| Full Name | Deon D Middlebrook M D Pc |
|---|---|
| Speciality | Medical Genetics, Ph.D. Medical Genetics |
| Location | 20176 Livernois Ave, Detroit, Michigan |
| Authorized Official Name and Position | Deon David Middlebrook (OWNER) |
| Authorized Official Contact | 3138643000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deon D Middlebrook M D Pc 20176 Livernois Ave Detroit MI 48221-1346 Ph: (313) 864-7000 | Deon D Middlebrook M D Pc 20176 Livernois Ave Detroit MI 48221-1346 Ph: (313) 864-3000 |
| NPI Number | 1689885535 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 09/14/2023 |
| Medicare PECOS PAC ID | 0547435695 |
|---|---|
| Medicare Enrollment ID | O20111219000657 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689885535 | NPI | - | NPPES |
| Provider Name | Deon Middlebrook |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1508898123 PECOS PAC ID: 7911818109 Enrollment ID: I20111219000739 |
| Provider Name | Lisa R Reeves |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568494185 PECOS PAC ID: 7719152875 Enrollment ID: I20111219000807 |
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