| Macomb Primary Care Pc | |
| 
					51850 Dequindre Rd Ste 2 Shelby Township MI 48316-2806  | |
| (586) 323-0301 | |
| Not Available | 
| Full Name | Macomb Primary Care Pc | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 51850 Dequindre Rd Ste 2, Shelby Township, Michigan | 
| Authorized Official Name and Position | Chadi Mansour (PHYSICIAN) | 
| Authorized Official Contact | 5863230301 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Macomb Primary Care Pc Po Box 3272 Saginaw MI 48605-3272 Ph: (989) 797-1400  | Macomb Primary Care Pc 51850 Dequindre Rd Ste 2 Shelby Township MI 48316-2806 Ph: (586) 323-0301  | 
| NPI Number | 1073842241 | 
|---|---|
| Provider Enumeration Date | 12/16/2009 | 
| Last Update Date | 09/17/2021 | 
| Medicare PECOS PAC ID | 2668509209 | 
|---|---|
| Medicare Enrollment ID | O20100429001019 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1073842241 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301077635 (Michigan) | Primary | 
| Provider Name | Chad H Mansour | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1730186594 PECOS PAC ID: 8426087784 Enrollment ID: I20050806000112  | 
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