| Patient Care Clinic | |
|
1160 Villa Ct N Walled Lake MI 48390-3376 | |
| (313) 978-2343 | |
| Not Available |
| Full Name | Patient Care Clinic |
|---|---|
| Speciality | General Practice |
| Location | 1160 Villa Ct N, Walled Lake, Michigan |
| Authorized Official Name and Position | Aundrey Lutskovsky (OWNER) |
| Authorized Official Contact | 3139782343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patient Care Clinic 1160 Villa Ct N Walled Lake MI 48390-3376 Ph: () - | Patient Care Clinic 1160 Villa Ct N Walled Lake MI 48390-3376 Ph: (313) 978-2343 |
| NPI Number | 1679705354 |
|---|---|
| Provider Enumeration Date | 08/14/2009 |
| Last Update Date | 04/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679705354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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