Brandon J Manderle, MD | |
2700 E Centre Ave, Portage, MI 49002-5500 | |
(269) 286-7050 | |
Not Available |
Full Name | Brandon J Manderle |
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Gender | Male |
Speciality | Family Medicine |
Location | 2700 E Centre Ave, Portage, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013576271 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 4301505916 (Michigan) | Primary |
Entity Name | Bronson Methodist Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417961137 PECOS PAC ID: 0244148633 Enrollment ID: O20031208000832 |
Mailing Address | Practice Location Address |
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Brandon J Manderle, MD 601 John Street, Box 39, Kalamazoo, MI 49007-1282 Ph: () - | Brandon J Manderle, MD 2700 E Centre Ave, Portage, MI 49002-5500 Ph: (269) 286-7050 |
Carolyn Von Maur, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7901 Angling Road, Suite B-201, Portage, MI 49024 Phone: 269-324-8600 | |
Remnant Mwanahiba, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 E Centre Ave, Portage, MI 49002 Phone: 269-286-7050 | |
Dr. Ann M. Busha, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3300 W Centre Ave, Portage, MI 49024 Phone: 269-324-8950 Fax: 269-324-2134 | |
Amber Darey, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3300 W Centre Ave, Portage, MI 49024 Phone: 269-324-8950 Fax: 269-324-2134 | |
Lawrence Ulmer, Family Medicine Medicare: Medicare Enrolled Practice Location: 7901 Angling Rd, Suite B-201, Portage, MI 49024 Phone: 269-324-8600 Fax: 269-324-8617 | |
Dr. Miriam Yvonne Veldt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2725 Airview Blvd, Suite 105, Portage, MI 49002 Phone: 269-349-8386 Fax: 269-349-8397 |