| Plumbrook Medical Center Pc | |
|
39880 Van Dyke Ste 102 Sterling Hghts MI 48313 | |
| (586) 939-9060 | |
| (586) 939-6639 |
| Full Name | Plumbrook Medical Center Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 39880 Van Dyke, Sterling Hghts, Michigan |
| Authorized Official Name and Position | Fredric I Neumann (PRESIDENT) |
| Authorized Official Contact | 5869399060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Plumbrook Medical Center Pc 39880 Van Dyke Ste 102 Sterling Hghts MI 48313 Ph: (586) 939-9060 | Plumbrook Medical Center Pc 39880 Van Dyke Ste 102 Sterling Hghts MI 48313 Ph: (586) 939-9060 |
| NPI Number | 1942309091 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 6406998863 |
|---|---|
| Medicare Enrollment ID | O20100122000448 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942309091 | NPI | - | NPPES |
| 080E01042 | Other | MI | BCBS |
| 3229756 | Medicaid | MI | |
| 23D0371615 | Other | MI | CLIA |
| 080082386 | Other | MI | RAILROAD MEDICARE |
| 3229747 | Medicaid | MI | |
| 43253579 | Other | MI | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | LN004676 (Michigan) | Secondary |
| 207Q00000X | Family Medicine | FN009587 (Michigan) | Primary |
| Provider Name | Fredric Irwin Neumann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013009901 PECOS PAC ID: 3577605930 Enrollment ID: I20100730000571 |