| Macomb Medical And Wellness Center Pllc | |
|
29135 Ryan Rd Ste E Warren MI 48092-4282 | |
| (248) 951-8928 | |
| (248) 951-2978 |
| Full Name | Macomb Medical And Wellness Center Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 29135 Ryan Rd Ste E, Warren, Michigan |
| Authorized Official Name and Position | Jean-luc Michel (OWNER) |
| Authorized Official Contact | 5863935439 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Macomb Medical And Wellness Center Pllc 29135 Ryan Rd Ste E Warren MI 48092-4282 Ph: (248) 951-8928 | Macomb Medical And Wellness Center Pllc 29135 Ryan Rd Ste E Warren MI 48092-4282 Ph: (248) 951-8928 |
| NPI Number | 1356876106 |
|---|---|
| Provider Enumeration Date | 04/28/2017 |
| Last Update Date | 12/20/2023 |
| Medicare PECOS PAC ID | 1557633021 |
|---|---|
| Medicare Enrollment ID | O20170817002443 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356876106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Virgil M Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114165339 PECOS PAC ID: 7416937628 Enrollment ID: I20040810000093 |
| Provider Name | Jean-luc Michel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457302747 PECOS PAC ID: 2466469127 Enrollment ID: I20170123000410 |
| Provider Name | Doreen Michel |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1366638249 PECOS PAC ID: 9830439405 Enrollment ID: I20190318001541 |
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