Aurielle Marie Fanning, MD | |
Iha East Brighton Primary Care, 5505 S Old Us 23 Suite 100, Brighton, MI 48116 | |
(810) 494-6885 | |
(313) 369-0142 |
Full Name | Aurielle Marie Fanning |
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Gender | Female |
Speciality | Family Medicine |
Location | Iha East Brighton Primary Care, Brighton, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770933574 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4301116934 (Michigan) | Primary |
Entity Name | Iha Health Services Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355 |
Mailing Address | Practice Location Address |
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Aurielle Marie Fanning, MD 24 Frank Lloyd Wright Drive, Suite J2000, Ann Arbor, MI 48105 Ph: (734) 747-6766 | Aurielle Marie Fanning, MD Iha East Brighton Primary Care, 5505 S Old Us 23 Suite 100, Brighton, MI 48116 Ph: (810) 494-6885 |
Dr. Robert Michael Camilletti, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2305 Genoa Business Park Dr Ste 200, Brighton, MI 48114 Phone: 810-494-6840 Fax: 810-494-6841 | |
Kimberly Eden Berke, Family Medicine Medicare: Medicare Enrolled Practice Location: 7575 Grand River Rd Ste 210, Brighton, MI 48114 Phone: 810-844-7950 | |
Dr. Robert Taylor Scott, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7575 Grand River Rd Ste 210, Brighton, MI 48114 Phone: 810-844-7950 Fax: 810-494-6895 | |
Dr. Rebecca Pawlik, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2305 Genoa Business Park Dr, Suite 200, Brighton, MI 48114 Phone: 810-494-6840 Fax: 810-494-6841 | |
Mr. Jonathan Aaron Koziel, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12851 Grand River Rd, Brighton, MI 48116 Phone: 810-225-2506 Fax: 810-220-5509 | |
Paula Berlin, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 205 W Grand River Ave Ste 200, Brighton, MI 48116 Phone: 810-225-7773 Fax: 810-225-7774 | |
Dr. Stacie Michelle Griffin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 524 Byron Rd., Brighton, MI 48114 Phone: 810-494-6840 Fax: 810-494-6841 |