| Healthways Michigan Group Plc | |
|
6175 Lapeer Rd Burton MI 48509-2417 | |
| (810) 743-1408 | |
| Not Available |
| Full Name | Healthways Michigan Group Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 6175 Lapeer Rd, Burton, Michigan |
| Authorized Official Name and Position | Roimmel Aquino (OWNER) |
| Authorized Official Contact | 8107431408 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthways Michigan Group Plc 6175 Lapeer Rd Burton MI 48509-2417 Ph: () - | Healthways Michigan Group Plc 6175 Lapeer Rd Burton MI 48509-2417 Ph: (810) 743-1408 |
| NPI Number | 1568975621 |
|---|---|
| Provider Enumeration Date | 11/13/2017 |
| Last Update Date | 11/13/2017 |
| Medicare PECOS PAC ID | 8426317728 |
|---|---|
| Medicare Enrollment ID | O20180112000423 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568975621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Pauline C Aquino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356370407 PECOS PAC ID: 5193790111 Enrollment ID: I20040901000598 |
| Provider Name | Rommel Aquino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619906773 PECOS PAC ID: 7719020213 Enrollment ID: I20100205000469 |
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