| Extended Care Medical Assoc. Pc | |
|
4748 S Knoll Ct W Bloomfield MI 48323-2520 | |
| (248) 681-1963 | |
| (248) 681-3524 |
| Full Name | Extended Care Medical Assoc. Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 4748 S Knoll Ct, W Bloomfield, Michigan |
| Authorized Official Name and Position | Arthur Harold (OWNER/PHYSICIAN) |
| Authorized Official Contact | 2486811963 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Extended Care Medical Assoc. Pc Po Box 251642 W Bloomfield MI 48325-1642 Ph: (248) 681-1963 | Extended Care Medical Assoc. Pc 4748 S Knoll Ct W Bloomfield MI 48323-2520 Ph: (248) 681-1963 |
| NPI Number | 1144261488 |
|---|---|
| Provider Enumeration Date | 06/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144261488 | NPI | - | NPPES |
| 1704147 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | AH005640 (Michigan) | Primary |
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