Christine Gay Brenner, MD | |
1600 S Canton Center Rd, Ste 200, Canton, MI 48188-1992 | |
(734) 713-4000 | |
(734) 713-4001 |
Full Name | Christine Gay Brenner |
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Gender | Female |
Speciality | Pediatrics |
Location | 1600 S Canton Center Rd, Canton, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013983899 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4301072739 (Michigan) | Primary |
Entity Name | Infinity Primary Care, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235106360 PECOS PAC ID: 0345227773 Enrollment ID: O20040702001024 |
Entity Name | Iha Olma Primary Non Risk Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073112819 PECOS PAC ID: 1759792799 Enrollment ID: O20201124001881 |
Mailing Address | Practice Location Address |
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Christine Gay Brenner, MD Po Box 673135, Detroit, MI 48267-3135 Ph: (734) 464-8300 | Christine Gay Brenner, MD 1600 S Canton Center Rd, Ste 200, Canton, MI 48188-1992 Ph: (734) 713-4000 |
Dr. Lisa Sprague, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 49650 Cherry Hill Rd, Suite 210, Canton, MI 48187 Phone: 734-398-7899 Fax: 734-398-7895 | |
Judy Tosto, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 49650 Cherry Hill Rd, Ste 210, Canton, MI 48187 Phone: 734-398-7899 Fax: 734-398-7895 | |
Crystal G Barrow, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 49650 Cherry Hill Rd, Suite 210, Canton, MI 48187 Phone: 734-398-7899 Fax: 734-398-7895 | |
Hira Amarasinghe, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 49650 Cherry Hill Rd Ste 210, Canton, MI 48187 Phone: 734-620-9993 | |
Dr. Bader Fatima Khan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8528 N Canton Center Rd, Canton, MI 48187 Phone: 734-414-9944 | |
Dr. Megan Ann Olson, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1051 North Canton Rd, Canton, MI 48187 Phone: 734-844-5400 Fax: 734-764-2599 |