Cheryl A Wesen, MD | |
19229 Mack Ave, Ste 34, Grosse Pointe Woods, MI 48236-2858 | |
(313) 647-3912 | |
(313) 347-3902 |
Full Name | Cheryl A Wesen |
---|---|
Gender | Female |
Speciality | Surgery |
Location | 19229 Mack Ave, Grosse Pointe Woods, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255319729 | NPI | - | NPPES |
3475787 | Medicaid | MI | |
4816915 | Medicaid | MI | |
0H231320 | Other | MI | BLUE CROSS GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 4301062525 (Michigan) | Primary |
2086X0206X | Surgery - Surgical Oncology | 4301062525 (Michigan) | Secondary |
Entity Name | Ascension Medical Group Michigan |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114133485 PECOS PAC ID: 0648180406 Enrollment ID: O20081015000289 |
Mailing Address | Practice Location Address |
---|---|
Cheryl A Wesen, MD 19229 Mack Ave, Ste 34, Grosse Pointe Woods, MI 48236-2858 Ph: (313) 647-3912 | Cheryl A Wesen, MD 19229 Mack Ave, Ste 34, Grosse Pointe Woods, MI 48236-2858 Ph: (313) 647-3912 |
Dr. Richard Nazih Berri, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 19229 Mack Ave Ste 23, Grosse Pointe Woods, MI 48236 Phone: 313-647-3252 | |
Dr. Jeffrey Scott Falk, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 19229 Mack Ave, Suite 34, Grosse Pointe Woods, MI 48236 Phone: 313-647-3900 Fax: 313-647-3902 |