| Midwest Medical Point Of Care Pc | |
|
16000 W 9 Mile Rd Suite 320 Southfield MI 48075-4808 | |
| (248) 569-0749 | |
| Not Available |
| Full Name | Midwest Medical Point Of Care Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 16000 W 9 Mile Rd, Southfield, Michigan |
| Authorized Official Name and Position | Tanaquil Powers (ADMINISTRATOR) |
| Authorized Official Contact | 2485690749 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Medical Point Of Care Pc 16000 W 9 Mile Rd Suite 320 Southfield MI 48075-4808 Ph: (248) 569-0749 | Midwest Medical Point Of Care Pc 16000 W 9 Mile Rd Suite 320 Southfield MI 48075-4808 Ph: (248) 569-0749 |
| NPI Number | 1821326695 |
|---|---|
| Provider Enumeration Date | 12/06/2009 |
| Last Update Date | 12/06/2009 |
| Medicare PECOS PAC ID | 8820128036 |
|---|---|
| Medicare Enrollment ID | O20100615000624 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821326695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Michigan) | Primary |
| Provider Name | Dean A Ruble |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922291137 PECOS PAC ID: 3779569017 Enrollment ID: I20040628000004 |
| Provider Name | Ronald L Kissel |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1851484356 PECOS PAC ID: 6608974985 Enrollment ID: I20141113000767 |
| Provider Name | Muhammad Vasiq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750357836 PECOS PAC ID: 8325048044 Enrollment ID: I20200623002942 |
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