Gailord C Weeks (NPI# 1841252590, PAC ID# 0749386506) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
Nation Provider ID (NPI) | 1841252590 |
PAC ID by PECOS | 0749386506 |
Professional Enrollment ID | I20070511000043 |
Full Name | Gailord C Weeks |
Organization Legal Name | MIDWEST PSYCHOLOGY, PC |
Address |
4040 W 72nd St Fremont MI 49491-9254 |
Phone Number | 2319245309 |
Gender | M |
Graduation Year | 1994 |
Primary Specialty | PSYCHOLOGIST, CLINICAL |
Group Practice PAC ID | 8921172917 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
4040 W 72nd St, Fremont, MI 49491-9254 | 2319245309 | MIDWEST PSYCHOLOGY, PC |
Organization Legal Name | MIDWEST PSYCHOLOGY, PC |
Physicians | 1 |
Street Address |
4040 W 72ND ST |
City | FREMONT |
State | MI |
Zip | 49491-9254 |
City | FREMONT |
Zip Code | 49491 |
Specialty | PSYCHOLOGIST, CLINICAL |
City + Specialty | FREMONT + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Gailord C Weeks.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.