| Morang Chester Clinic P C | |
|
17520 Chester St Detroit MI 48224-1212 | |
| (313) 884-0900 | |
| (313) 884-8062 |
| Full Name | Morang Chester Clinic P C |
|---|---|
| Speciality | Family Medicine |
| Location | 17520 Chester St, Detroit, Michigan |
| Authorized Official Name and Position | Barry Braver (PRESIDENT) |
| Authorized Official Contact | 3138840900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Morang Chester Clinic P C 17520 Chester St Detroit MI 48224-1212 Ph: (313) 884-0900 | Morang Chester Clinic P C 17520 Chester St Detroit MI 48224-1212 Ph: (313) 884-0900 |
| NPI Number | 1497895106 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 11/27/2024 |
| Medicare PECOS PAC ID | 4587750047 |
|---|---|
| Medicare Enrollment ID | O20071012000688 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497895106 | NPI | - | NPPES |
| 0188200304 | Other | MI | BCBSM PIN |
| 2808979 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101007774 (Michigan) | Primary |
| Provider Name | Barry Braver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275592412 PECOS PAC ID: 5193715340 Enrollment ID: I20071012000675 |
| Provider Name | Tzvi D Braver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083807176 PECOS PAC ID: 0547458879 Enrollment ID: I20101230000303 |
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