| Peoples Community Medical Clinic | |
|
4000 Davison Avenue Detroit MI 48238 | |
| (248) 424-9460 | |
| (248) 424-9464 |
| Full Name | Peoples Community Medical Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 4000 Davison Avenue, Detroit, Michigan |
| Authorized Official Name and Position | Roberto J William (PRESIDENT) |
| Authorized Official Contact | 2484249460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peoples Community Medical Clinic 4000 Davison Avenue Detroit MI 48238 Ph: (248) 424-9460 | Peoples Community Medical Clinic 4000 Davison Avenue Detroit MI 48238 Ph: (248) 424-9460 |
| NPI Number | 1851503023 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851503023 | NPI | - | NPPES |
| 1073690103 | Medicaid | MI | |
| 1073690103 | Other | MI | COMMERICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301040568 (Michigan) | Primary |
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