| Peter R Pashley D.o.,p.c | |
|
38300 Van Dyke Ave Suite 104 Sterling Heights MI 48312-1123 | |
| (586) 446-7870 | |
| (586) 446-7871 |
| Full Name | Peter R Pashley D.o.,p.c |
|---|---|
| Speciality | Internal Medicine |
| Location | 38300 Van Dyke Ave, Sterling Heights, Michigan |
| Authorized Official Name and Position | Peter Richard Pashley (PHYSICIAN) |
| Authorized Official Contact | 5864467870 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter R Pashley D.o.,p.c 38300 Van Dyke Ave Suite 104 Sterling Heights MI 48312-1123 Ph: (586) 446-7870 | Peter R Pashley D.o.,p.c 38300 Van Dyke Ave Suite 104 Sterling Heights MI 48312-1123 Ph: (586) 446-7870 |
| NPI Number | 1154447464 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 11/08/2007 |
| Medicare PECOS PAC ID | 8325012032 |
|---|---|
| Medicare Enrollment ID | O20140428000138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154447464 | NPI | - | NPPES |
| 1157410875 | Other | MI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 5101013427 (Michigan) | Primary |
| Provider Name | Peter Richard Pashley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063401685 PECOS PAC ID: 2567436272 Enrollment ID: I20040820000074 |
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