| Aids Partnership Michigan | |
|
64 Victor St Highland Park MI 48203-3128 | |
| (313) 446-9800 | |
| (313) 446-9839 |
| Full Name | Aids Partnership Michigan |
|---|---|
| Speciality | Family Medicine |
| Location | 64 Victor St, Highland Park, Michigan |
| Authorized Official Name and Position | Tanya Mauldin (PROVIDER ENROLLMENT MANGER) |
| Authorized Official Contact | 4142251611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aids Partnership Michigan Dept Ch 14583 Palatine IL 60055-0001 Ph: (866) 525-5484 | Aids Partnership Michigan 64 Victor St Highland Park MI 48203-3128 Ph: (313) 446-9800 |
| NPI Number | 1154712271 |
|---|---|
| Provider Enumeration Date | 02/11/2015 |
| Last Update Date | 03/25/2026 |
| Certification Date | 03/25/2026 |
| Medicare PECOS PAC ID | 4587161013 |
|---|---|
| Medicare Enrollment ID | O20251009001652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154712271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Secondary |
| 261QH0100X | Clinic/center - Health Service | (NU) | Secondary |
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Lauren Touleyrou |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1275060402 PECOS PAC ID: 1254744220 Enrollment ID: I20220608000145 |
| Provider Name | Adam Liparoto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912556762 PECOS PAC ID: 5496168593 Enrollment ID: I20251021003397 |
| Provider Name | Leslie Cockerham |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326272162 PECOS PAC ID: 2163617515 Enrollment ID: I20251029004288 |
| Provider Name | Sara Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992287338 PECOS PAC ID: 9739593377 Enrollment ID: I20251203001591 |
| Provider Name | Travis Amengual |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386147163 PECOS PAC ID: 3971849829 Enrollment ID: I20260506000403 |
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