| Kancc Medical Plc | |
|
17331 Mack Ave Detroit MI 48224-2250 | |
| (313) 473-8525 | |
| (313) 473-8521 |
| Full Name | Kancc Medical Plc |
|---|---|
| Speciality | General Practice |
| Location | 17331 Mack Ave, Detroit, Michigan |
| Authorized Official Name and Position | Peter R Nwoke (OWNER) |
| Authorized Official Contact | 3134738525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kancc Medical Plc Po Box 806464 Saint Clair Shores MI 48080-6464 Ph: (313) 473-8525 | Kancc Medical Plc 17331 Mack Ave Detroit MI 48224-2250 Ph: (313) 473-8525 |
| NPI Number | 1437710563 |
|---|---|
| Provider Enumeration Date | 06/28/2019 |
| Last Update Date | 07/18/2022 |
| Medicare PECOS PAC ID | 1850760877 |
|---|---|
| Medicare Enrollment ID | O20221214002712 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437710563 | NPI | - | NPPES |
| Provider Name | Peter R Nwoke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841398955 PECOS PAC ID: 9638176373 Enrollment ID: I20061023000253 |
Detroit Health Care For The Homeless Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15400 W Mcnichols Rd, Detroit, MI 48235 Phone: 313-416-6262 Fax: 313-221-8217 | |
Detroit Central City Community Mental Health, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8333 Townsend St, Detroit, MI 48213 Phone: 313-831-3160 | |
Dwight E Smith, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7800 W Outer Dr, Suite 230, Detroit, MI 48235 Phone: 313-535-0900 Fax: 313-535-3810 | |
St. John Hospital And Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 586-753-0011 | |
Community Health And Social Services Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3426 Mack Avenue, Detroit, MI 48207 Phone: 313-849-3920 | |
Ascension St John Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 586-753-0011 | |
Health Care Medical Center Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17141 Hayes St, Detroit, MI 48205 Phone: 313-245-1700 Fax: 313-245-1701 |