Brian Smith, | |
44405 Woodward Ave, Medical Education, Pontiac, MI 48341-5023 | |
(248) 858-3234 | |
Not Available |
Full Name | Brian Smith |
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Gender | Male |
Speciality | Surgery |
Location | 44405 Woodward Ave, Pontiac, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366977894 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 0068657 (Colorado) | Primary |
Entity Name | Boulder Medical Center, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306820923 PECOS PAC ID: 4183536204 Enrollment ID: O20031105000512 |
Mailing Address | Practice Location Address |
---|---|
Brian Smith, 44405 Woodward Ave, Medical Education, Pontiac, MI 48341-5023 Ph: () - | Brian Smith, 44405 Woodward Ave, Medical Education, Pontiac, MI 48341-5023 Ph: (248) 858-3234 |
Leah Liu, Surgery Medicare: Not Enrolled in Medicare Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3000 | |
Leith Isaac Brown, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 50 N Perry St, Pontiac, MI 48342 Phone: 248-338-5000 | |
Dr. Alicia Nicole Kieninger, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 44555 Woodward Ave, Suite 501, Pontiac, MI 48341 Phone: 248-338-7171 Fax: 248-858-3889 | |
Jason Djohn, Surgery Medicare: Medicare Enrolled Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3234 | |
Dr. Michael Maiden, DO Surgery Medicare: Medicare Enrolled Practice Location: 44405 Woodward Ave # H23, Pontiac, MI 48341 Phone: 617-721-2615 | |
Dr. Sai Santosh Sreenivasan, DO Surgery Medicare: Medicare Enrolled Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3234 | |
Kiranpreet Kaur, Surgery Medicare: Not Enrolled in Medicare Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3000 |