| Lakes Area Hospitalists,pc | |
|
6520 Castlebury Dr West Bloomfield MI 48322-2711 | |
| (248) 561-3692 | |
| Not Available |
| Full Name | Lakes Area Hospitalists,pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6520 Castlebury Dr, West Bloomfield, Michigan |
| Authorized Official Name and Position | Diana Guerrero Betancourt (PRESIDENT) |
| Authorized Official Contact | 2485613692 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakes Area Hospitalists,pc 6520 Castlebury Dr West Bloomfield MI 48322-2711 Ph: (248) 561-3692 | Lakes Area Hospitalists,pc 6520 Castlebury Dr West Bloomfield MI 48322-2711 Ph: (248) 561-3692 |
| NPI Number | 1558558924 |
|---|---|
| Provider Enumeration Date | 10/01/2007 |
| Last Update Date | 04/17/2015 |
| Medicare PECOS PAC ID | 7911949318 |
|---|---|
| Medicare Enrollment ID | O20050525001117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558558924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301406079 (Michigan) | Primary |
| Provider Name | Diana Guerrero Betancourt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477546059 PECOS PAC ID: 3577523430 Enrollment ID: I20041014000797 |
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