| Junction Clinic | |
|
4771 Michigan Ave Detroit MI 48210-3247 | |
| (313) 897-2600 | |
| (313) 897-2424 |
| Full Name | Junction Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 4771 Michigan Ave, Detroit, Michigan |
| Authorized Official Name and Position | Jerry Uzansky (DOCTOR) |
| Authorized Official Contact | 3138972600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Junction Clinic 4771 Michigan Ave Detroit MI 48210-3247 Ph: (313) 897-2600 | Junction Clinic 4771 Michigan Ave Detroit MI 48210-3247 Ph: (313) 897-2600 |
| NPI Number | 1285813154 |
|---|---|
| Provider Enumeration Date | 10/29/2007 |
| Last Update Date | 04/20/2008 |
| Medicare PECOS PAC ID | 5597726687 |
|---|---|
| Medicare Enrollment ID | O20041021001011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285813154 | NPI | - | NPPES |
| 0258220204 | Other | MI | BCBS NUMBER |
| 0P01030 | Other | MI | MEDICARE GROUP NUMBER |
| 1477523892 | Other | MI | NPI INDIVIDUAL NUMBER |
| 1117993 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | GU005238 (Michigan) | Primary |
| Provider Name | Jerry U Uzansky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477523892 PECOS PAC ID: 5496716599 Enrollment ID: I20041022001115 |
| Provider Name | Jerome I Sitner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164492500 PECOS PAC ID: 3678534765 Enrollment ID: I20041022001165 |
| Provider Name | Sailaja Peddireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225215569 PECOS PAC ID: 3870643828 Enrollment ID: I20090612000100 |
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