| Rsmd PLLC | |
|
20905 Greenfield Rd Suite 406 Southfield MI 48075-5360 | |
| (248) 557-0507 | |
| Not Available |
| Full Name | Rsmd PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 20905 Greenfield Rd, Southfield, Michigan |
| Authorized Official Name and Position | Remi O Soile (OWNER) |
| Authorized Official Contact | 2485570507 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rsmd PLLC 20905 Greenfield Rd Suite 406 Southfield MI 48075-5360 Ph: (248) 557-0507 | Rsmd PLLC 20905 Greenfield Rd Suite 406 Southfield MI 48075-5360 Ph: (248) 557-0507 |
| NPI Number | 1053663575 |
|---|---|
| Provider Enumeration Date | 10/08/2012 |
| Last Update Date | 10/12/2012 |
| Medicare PECOS PAC ID | 8426201393 |
|---|---|
| Medicare Enrollment ID | O20130102000144 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053663575 | NPI | - | NPPES |
| RS069367 | Other | MI | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | RS069367 (Michigan) | Primary |
| Provider Name | Remi O Soile |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366510893 PECOS PAC ID: 4880590355 Enrollment ID: I20031210000094 |
| Provider Name | Demetris Lavette Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215412416 PECOS PAC ID: 1153661756 Enrollment ID: I20190318002902 |
| Provider Name | Jackqulyn Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194591719 PECOS PAC ID: 8426537358 Enrollment ID: I20260210002770 |
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