| Dr Ellen Renee Wyant, DMD | |
|
104 Grant St, Niles, MI 49120-2201 | |
| (269) 683-1077 | |
| (269) 684-5305 |
| Full Name | Dr Ellen Renee Wyant |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 104 Grant St, Niles, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144389396 | NPI | - | NPPES |
| 4498490 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901015477 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ellen Renee Wyant, DMD 104 Grant St, Niles, MI 49120-2201 Ph: (269) 683-1077 | Dr Ellen Renee Wyant, DMD 104 Grant St, Niles, MI 49120-2201 Ph: (269) 683-1077 |
Dr. Sungmin Cho, DDS Dentist Medicare: Medicare Enrolled Practice Location: 122 Grant St, Niles, MI 49120 Phone: 269-262-4364 | |
Madison Rae Mick, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 24 N Saint Joseph Ave Ste G, Niles, MI 49120 Phone: 269-262-0399 | |
Peter Jon Stelton, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 215 Broadway, Niles, MI 49120 Phone: 269-684-8199 Fax: 269-684-1383 | |
Dr. Michael L Flewelling, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 24 N Saint Joseph Ave, Suite E-2, Niles, MI 49120 Phone: 269-683-4180 | |
Dr. Richard Ronald Rutkowski, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2812 S 11th St, Niles, MI 49120 Phone: 269-683-6331 Fax: 269-683-3411 | |
Dr. Darrin Gourlay, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 104 Grant St, Niles, MI 49120 Phone: 269-683-1077 |