MEDICARE: DR. WILLIAM P PRECHEL D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	5101006899	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5821071	OTHER	MI	BLUE CROSS BLUE SHIELD MI
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912903139
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM P PRECHEL D.O.

Provider Business Mailing Address
First Line	:	1735 GOLFVIEW DR
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48128-1443
Country	:	US
Telephone Number	:	313-584-3624
Fax Number	:

Provider Business Practice Location Address
First Line	:	16551 W WARREN AVE
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48228-3706
Country	:	US
Telephone Number	:	313-584-3624
Fax Number	:	313-584-8060

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	09/06/2016

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