OrganizationVpa Pc(<Unavail>)Family MedicineAllopathic & Osteopathic PhysiciansPractice Address500 Kirts Blvd Ste 100, Troy, MI 48084-4135(248) 434-6169PECOS EnrollmentBased on the most recent information from CMS, provider Vpa Pc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1649990227Provider TypeOrganizationFull NameVpa PcOther Name<Unavail>SubpartNoEnumeration Date9/1/2022Last Updated10/21/2022Contact InformationPractice LocationPractice Address500 Kirts Blvd Ste 100, Troy, MI 48084-4135Phone(248) 434-6169Fax(855) 618-6655Mailing LocationMailing AddressPO Box 639295 Dept 93394, Cincinnati, OH 45263-9295Phone(248) 434-6169Fax(855) 618-6655Authorized OfficialNameStevens, Jeffrey (Owner)Phone(248) 824-6600Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode208000000XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode208D00000XDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer