Branden M Goller, DO | |
1500 E Sherman Blvd, Muskegon, MI 49444-1849 | |
(231) 672-2400 | |
Not Available |
Full Name | Branden M Goller |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 1500 E Sherman Blvd, Muskegon, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982287256 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 515101519 (Michigan) | Primary |
Entity Name | Mercy Specialty Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629010384 PECOS PAC ID: 2365439544 Enrollment ID: O20040429000064 |
Mailing Address | Practice Location Address |
---|---|
Branden M Goller, DO 1675 Leahy St Ste 315a, Muskegon, MI 49442-5543 Ph: (231) 672-8283 | Branden M Goller, DO 1500 E Sherman Blvd, Muskegon, MI 49444-1849 Ph: (231) 672-2400 |
Edward Tanudjaja, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1500 E Sherman Blvd, Muskegon, MI 49444 Phone: 231-672-2000 | |
Dr. Karen A Thornburg, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 Baker St Fl 3, Muskegon, MI 49444 Phone: 231-737-1335 Fax: 231-737-0534 | |
Mathew J Brakora, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 E Sherman Blvd, Muskegon, MI 49444 Phone: 231-672-3883 | |
Abbaseh Saedi, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1150 E Sherman Blvd Ste 1175, Muskegon, MI 49444 Phone: 231-672-6740 | |
Dr. Jon Hinderer, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 684 Harvey St, Muskegon, MI 49442 Phone: 231-777-5906 Fax: 231-773-8904 | |
Krishna Chaitanya Meka, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2009 Holton Rd, Muskegon, MI 49445 Phone: 616-935-3479 | |
Dr. Nino Pio Soave, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2009 Holton Rd, Muskegon, MI 49445 Phone: 616-267-7414 |