| Tri-county Medical Clinic, P.c. | |
|
37450 Dequindre Rd Sterling Heights MI 48310-3503 | |
| (586) 979-5100 | |
| Not Available |
| Full Name | Tri-county Medical Clinic, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 37450 Dequindre Rd, Sterling Heights, Michigan |
| Authorized Official Name and Position | Stuart Ronald Stoller (PRESIDENT) |
| Authorized Official Contact | 5869795100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-county Medical Clinic, P.c. 37450 Dequindre Rd Sterling Heights MI 48310-3503 Ph: (586) 979-5100 | Tri-county Medical Clinic, P.c. 37450 Dequindre Rd Sterling Heights MI 48310-3503 Ph: (586) 979-5100 |
| NPI Number | 1639264344 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1355326885 |
|---|---|
| Medicare Enrollment ID | O20040621000304 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639264344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Anthony A Bennett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801866397 PECOS PAC ID: 0749176394 Enrollment ID: I20040223000471 |
| Provider Name | Frank D Winters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093785941 PECOS PAC ID: 7315934668 Enrollment ID: I20040930000308 |
| Provider Name | Oleh R Lawrin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1316944937 PECOS PAC ID: 3072565837 Enrollment ID: I20050228000298 |
| Provider Name | Zakwan Mahjoub |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316916729 PECOS PAC ID: 2163446915 Enrollment ID: I20060119000170 |
| Provider Name | Lana Kawa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073697199 PECOS PAC ID: 0840297768 Enrollment ID: I20061106000556 |
| Provider Name | Stuart R Stoller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184665713 PECOS PAC ID: 7416932942 Enrollment ID: I20100608000042 |
| Provider Name | Kenneth J Wolok |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194715557 PECOS PAC ID: 9335124866 Enrollment ID: I20100608000054 |
| Provider Name | Jeffrey S Deitch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386634749 PECOS PAC ID: 8527043058 Enrollment ID: I20100910000370 |
| Provider Name | Gurmail Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639529951 PECOS PAC ID: 6103145339 Enrollment ID: I20160816002717 |
| Provider Name | Steven N Rives |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982944666 PECOS PAC ID: 3476825456 Enrollment ID: I20170825002093 |
| Provider Name | Natalie C Lawrin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1992238356 PECOS PAC ID: 0143569319 Enrollment ID: I20190306000142 |
| Provider Name | Traci Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811514003 PECOS PAC ID: 2264842426 Enrollment ID: I20201029002661 |
| Provider Name | Daniel R Braschayko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003587759 PECOS PAC ID: 3476942046 Enrollment ID: I20211119002285 |
| Provider Name | Navid Khamooshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841813565 PECOS PAC ID: 7517388564 Enrollment ID: I20230627000402 |
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