| White Lake Family Medicine | |
|
9178 Highland Rd Suite 1 White Lake MI 48386-4619 | |
| (248) 698-1999 | |
| (248) 698-4446 |
| Full Name | White Lake Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 9178 Highland Rd, White Lake, Michigan |
| Authorized Official Name and Position | David Leszkowitz (PRESIDENT) |
| Authorized Official Contact | 2486981999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| White Lake Family Medicine 9178 Highland Rd Suite 1 White Lake MI 48386-4619 Ph: (248) 698-1999 | White Lake Family Medicine 9178 Highland Rd Suite 1 White Lake MI 48386-4619 Ph: (248) 698-1999 |
| NPI Number | 1609095256 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 11/25/2019 |
| Medicare PECOS PAC ID | 3577759083 |
|---|---|
| Medicare Enrollment ID | O20101123000767 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609095256 | NPI | - | NPPES |
| 0F37023 | Other | MI | BCBSM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Michigan) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Solomon L Amster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093920225 PECOS PAC ID: 0941367536 Enrollment ID: I20090326000140 |
| Provider Name | Liza Raymond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508915562 PECOS PAC ID: 7911191499 Enrollment ID: I20101028000786 |
| Provider Name | David Leszkowitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972546299 PECOS PAC ID: 4789870288 Enrollment ID: I20101123000730 |
| Provider Name | Eric Jacob Greenberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144562968 PECOS PAC ID: 0244548360 Enrollment ID: I20180122000395 |
| Provider Name | Cheryl Lee Ivie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366944837 PECOS PAC ID: 0244593606 Enrollment ID: I20180417001855 |
| Provider Name | Chaka Chipawe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104378264 PECOS PAC ID: 7618232349 Enrollment ID: I20180530003060 |
| Provider Name | Ashley Marie Ziebarth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982234803 PECOS PAC ID: 3971931437 Enrollment ID: I20200316001026 |
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