| Charles Theodorovich, CRNA | |
|
30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025-4502 | |
| (248) 258-5058 | |
| Not Available |
| Full Name | Charles Theodorovich |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 30200 Telegraph Rd, Bingham Farms, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710945746 | NPI | - | NPPES |
| P00309996 | Other | MI | RAILROAD MEDICARE |
| 104831359 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 4704101769 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Theodorovich, CRNA 321 N Gordon St, Marshall, MI 49068-1214 Ph: () - | Charles Theodorovich, CRNA 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025-4502 Ph: (248) 258-5058 |
James Bandy, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025 Phone: 248-258-5058 | |
Katherine Brege-biland, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025 Phone: 248-258-5058 | |
Beth Crofut, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025 Phone: 248-258-5058 | |
Jane Andrea Smith, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025 Phone: 313-258-5058 | |
Fernando Medina, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025 Phone: 248-258-5058 | |
Jeffrey Johnson, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025 Phone: 248-258-5058 | |
Marion Ozbun, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025 Phone: 248-258-5058 |