| Nms Obgyn Pllc | |
|
6079 W Maple Rd Suite 110 West Bloomfield MI 48322-2283 | |
| (248) 325-9615 | |
| (248) 325-9613 |
| Full Name | Nms Obgyn Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6079 W Maple Rd, West Bloomfield, Michigan |
| Authorized Official Name and Position | Nancy A Salem (OWNER/PROVIDER) |
| Authorized Official Contact | 2483259615 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nms Obgyn Pllc 6079 W Maple Rd Suite 110 West Bloomfield MI 48322-2283 Ph: (248) 325-9615 | Nms Obgyn Pllc 6079 W Maple Rd Suite 110 West Bloomfield MI 48322-2283 Ph: (248) 325-9615 |
| NPI Number | 1184919417 |
|---|---|
| Provider Enumeration Date | 06/15/2011 |
| Last Update Date | 11/11/2011 |
| Medicare PECOS PAC ID | 8224203567 |
|---|---|
| Medicare Enrollment ID | O20111214000770 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184919417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 4301074072 (Michigan) | Primary |
| Provider Name | Nancy A Salem |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457337529 PECOS PAC ID: 9931099975 Enrollment ID: I20040316000230 |
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