| Gem Health & Wellness PC | |
|
25500 Meadowbrook Rd Ste 260 Novi MI 48375-1883 | |
| (248) 639-4131 | |
| Not Available |
| Full Name | Gem Health & Wellness PC |
|---|---|
| Speciality | Family Medicine |
| Location | 25500 Meadowbrook Rd Ste 260, Novi, Michigan |
| Authorized Official Name and Position | Ron Kuzdak (CEO) |
| Authorized Official Contact | 2487708280 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gem Health & Wellness PC 25500 Meadowbrook Rd Ste 260 Novi MI 48375-1883 | Gem Health & Wellness PC 25500 Meadowbrook Rd Ste 260 Novi MI 48375-1883 Ph: (248) 639-4131 |
| NPI Number | 1194407619 |
|---|---|
| Provider Enumeration Date | 08/03/2023 |
| Last Update Date | 08/14/2023 |
| Certification Date | 08/14/2023 |
| Medicare PECOS PAC ID | 2769838259 |
|---|---|
| Medicare Enrollment ID | O20231019000456 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194407619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Ron C Kuzdak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689618449 PECOS PAC ID: 3476509597 Enrollment ID: I20050322000910 |
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