Cheryl Gibson Fountain, MD | |
15050 E Jefferson Ave, Grosse Pointe Park, MI 48230-2050 | |
(313) 823-4682 | |
(313) 823-8022 |
Full Name | Cheryl Gibson Fountain |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 15050 E Jefferson Ave, Grosse Pointe Park, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184612574 | NPI | - | NPPES |
700H249730 | Other | MI | BCBS GROUP NUMBER |
4502234 | Medicaid | MI | |
4417616 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 4301052473 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Cheryl Gibson Fountain, MD 43800 Garfield Rd, Clinton Twp, MI 48038-1136 Ph: (800) 848-0202 | Cheryl Gibson Fountain, MD 15050 E Jefferson Ave, Grosse Pointe Park, MI 48230-2050 Ph: (313) 823-4682 |
Linda M Karadsheh, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 15200 Kercheval Ave, Grosse Pointe Park, MI 48230 Phone: 947-519-6750 Fax: 751-947-5196 |