| The Digestive Disease Institute, P.c. | |
|
5059 Villa Linde Pkwy Suite 28 Flint MI 48532-3438 | |
| (810) 720-7600 | |
| (810) 720-8220 |
| Full Name | The Digestive Disease Institute, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 5059 Villa Linde Pkwy, Flint, Michigan |
| Authorized Official Name and Position | Mustafa Alnounou (OWNER) |
| Authorized Official Contact | 8103974717 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Digestive Disease Institute, P.c. 5059 Villa Linde Pkwy Suite 28 Flint MI 48532-3438 Ph: (810) 720-7600 | The Digestive Disease Institute, P.c. 5059 Villa Linde Pkwy Suite 28 Flint MI 48532-3438 Ph: (810) 720-7600 |
| NPI Number | 1497040893 |
|---|---|
| Provider Enumeration Date | 06/14/2011 |
| Last Update Date | 06/14/2011 |
| Medicare PECOS PAC ID | 6103092283 |
|---|---|
| Medicare Enrollment ID | O20111221000237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497040893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 4301093129 (Michigan) | Primary |
| Provider Name | Mustafa Alnounou |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235165481 PECOS PAC ID: 4284632183 Enrollment ID: I20090427000449 |
| Provider Name | Annabelle Slotka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679104186 PECOS PAC ID: 5395172555 Enrollment ID: I20200227002126 |
| Provider Name | Amanda O'guinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770127086 PECOS PAC ID: 3577953207 Enrollment ID: I20211210002266 |
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