| Pacific Health, P.C. | |
|
649 E 12 Mile Rd Madison Heights MI 48071-2568 | |
| (248) 584-5590 | |
| (248) 584-5591 |
| Full Name | Pacific Health, P.C. |
|---|---|
| Speciality | Family Medicine |
| Location | 649 E 12 Mile Rd, Madison Heights, Michigan |
| Authorized Official Name and Position | Benjamin Nguyen (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2485845590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Health, P.C. 649 E 12 Mile Rd Madison Heights MI 48071-2568 Ph: (248) 584-5590 | Pacific Health, P.C. 649 E 12 Mile Rd Madison Heights MI 48071-2568 Ph: (248) 584-5590 |
| NPI Number | 1629183546 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 01/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629183546 | NPI | - | NPPES |
| 4257639 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301070709 (Michigan) | Primary |
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