| Partners In Internal Medicine Pllc | |
|
2200 Green Rd Suite B Ann Arbor MI 48105 | |
| (734) 994-7446 | |
| (734) 623-8590 |
| Full Name | Partners In Internal Medicine Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2200 Green Rd, Ann Arbor, Michigan |
| Authorized Official Name and Position | Michelle Hankins (CREDENTIALING) |
| Authorized Official Contact | 7349947446 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Partners In Internal Medicine Pllc 2200 Green Rd Suite B Ann Arbor MI 48105 Ph: (734) 994-7446 | Partners In Internal Medicine Pllc 2200 Green Rd Suite B Ann Arbor MI 48105 Ph: (734) 994-7446 |
| NPI Number | 1780625145 |
|---|---|
| Provider Enumeration Date | 06/09/2006 |
| Last Update Date | 11/02/2023 |
| Medicare PECOS PAC ID | 6103806245 |
|---|---|
| Medicare Enrollment ID | O20040721000304 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780625145 | NPI | - | NPPES |
| 4301075355 | Other | MI | LICENSE (EJS) |
| 4301065397 | Other | MI | LICENSE (PES) |
| 4301069903 | Other | MI | LICENSE (SH) |
| 4301063025 | Other | MI | LICENSE (PRP) |
| 4301095466 | Other | MI | LICENSE (DRW) |
| 4301081318 | Other | MI | LICENSE (BG) |
| 4301043873 | Other | MI | LICENSE (MLG) |
| 4301049857 | Other | MI | LICENSE (MO) |
| 4704243632 | Other | MI | LICENSE (LMC) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Michigan) | Primary |
| Provider Name | Lisa M Cogswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366698789 PECOS PAC ID: 7416018270 Enrollment ID: I20081211000578 |
| Provider Name | Eric J Straka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336147735 PECOS PAC ID: 7719030634 Enrollment ID: I20091007000336 |
| Provider Name | Mark Oberdoerster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932197423 PECOS PAC ID: 9133199888 Enrollment ID: I20091007000471 |
| Provider Name | Martha Leigh Gray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801892294 PECOS PAC ID: 9032189782 Enrollment ID: I20091008000216 |
| Provider Name | Sara Hashemian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427054006 PECOS PAC ID: 9638222557 Enrollment ID: I20091008000341 |
| Provider Name | Peter R Paul |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1407853617 PECOS PAC ID: 2365595287 Enrollment ID: I20091008000358 |
| Provider Name | Pamela Shore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144283243 PECOS PAC ID: 2769565597 Enrollment ID: I20091202000302 |
| Provider Name | David R Weidendorf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497088876 PECOS PAC ID: 4688821739 Enrollment ID: I20120824000796 |
| Provider Name | Elissa S Gaies |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386008233 PECOS PAC ID: 2264728377 Enrollment ID: I20190930002220 |
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