| Oakman Medical Clinic Pllc | |
|
3755 Fort St Lincoln Park MI 48146-4118 | |
| (313) 908-1941 | |
| (313) 908-9496 |
| Full Name | Oakman Medical Clinic Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3755 Fort St, Lincoln Park, Michigan |
| Authorized Official Name and Position | Fady Fayad (OWNER) |
| Authorized Official Contact | 3139081941 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oakman Medical Clinic Pllc 3755 Fort St Lincoln Park MI 48146-4118 Ph: () - | Oakman Medical Clinic Pllc 3755 Fort St Lincoln Park MI 48146-4118 Ph: (313) 908-1941 |
| NPI Number | 1376023861 |
|---|---|
| Provider Enumeration Date | 08/15/2018 |
| Last Update Date | 08/15/2018 |
| Medicare PECOS PAC ID | 1658621057 |
|---|---|
| Medicare Enrollment ID | O20180905003584 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376023861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Fady Fayad Fayad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205862612 PECOS PAC ID: 6103892807 Enrollment ID: I20040903000430 |
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