| Main Street Physicians P.c. | |
|
25000 Hall Rd Ste 1 Woodhaven MI 48183-5112 | |
| (734) 676-3373 | |
| (734) 676-2014 |
| Full Name | Main Street Physicians P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 25000 Hall Rd Ste 1, Woodhaven, Michigan |
| Authorized Official Name and Position | Christopher R Deangelis (CEO) |
| Authorized Official Contact | 7346763373 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Physicians P.c. 25000 Hall Rd Ste 1 Woodhaven MI 48183-5112 Ph: (734) 676-3373 | Main Street Physicians P.c. 25000 Hall Rd Ste 1 Woodhaven MI 48183-5112 Ph: (734) 676-3373 |
| NPI Number | 1952866808 |
|---|---|
| Provider Enumeration Date | 02/05/2019 |
| Last Update Date | 02/05/2019 |
| Medicare PECOS PAC ID | 6709125693 |
|---|---|
| Medicare Enrollment ID | O20190312001434 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952866808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Christopher R Deangelis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629076450 PECOS PAC ID: 1254416324 Enrollment ID: I20080313000300 |
| Provider Name | Sarah E Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275797946 PECOS PAC ID: 5294905956 Enrollment ID: I20110907001162 |
| Provider Name | Jennifer Burgtorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205202025 PECOS PAC ID: 6800103862 Enrollment ID: I20150923002754 |
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