| Premier Wound Care Pllc | |
|
50505 Schoenherr Rd Ste 340 Shelby Township MI 48315-3140 | |
| (586) 731-8400 | |
| Not Available |
| Full Name | Premier Wound Care Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 50505 Schoenherr Rd Ste 340, Shelby Township, Michigan |
| Authorized Official Name and Position | Stephanie Averitt (ADMINISTRATION) |
| Authorized Official Contact | 5867318400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Wound Care Pllc 50505 Schoenherr Rd Ste 340 Shelby Township MI 48315-3140 Ph: (586) 731-8400 | Premier Wound Care Pllc 50505 Schoenherr Rd Ste 340 Shelby Township MI 48315-3140 Ph: (586) 731-8400 |
| NPI Number | 1669253894 |
|---|---|
| Provider Enumeration Date | 10/12/2023 |
| Last Update Date | 10/12/2023 |
| Medicare PECOS PAC ID | 6103273719 |
|---|---|
| Medicare Enrollment ID | O20231103000539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669253894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Seth Byron Parker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144214008 PECOS PAC ID: 8527058817 Enrollment ID: I20040518000200 |
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