Colleen Larose Miele, MD | |
47601 Grand River Ave, B233, Novi, MI 48374-1233 | |
(248) 465-4847 | |
(248) 465-4809 |
Full Name | Colleen Larose Miele |
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Gender | Female |
Speciality | Pediatrics - Adolescent Medicine |
Location | 47601 Grand River Ave, Novi, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265431696 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080A0000X | Pediatrics - Adolescent Medicine | 4301061288 (Michigan) | Primary |
Entity Name | Ascension Providence Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942265236 PECOS PAC ID: 6103738703 Enrollment ID: O20031103000326 |
Mailing Address | Practice Location Address |
---|---|
Colleen Larose Miele, MD 25925 Telegraph Rd, 210, Southfield, MI 48034-2518 Ph: (248) 746-0342 | Colleen Larose Miele, MD 47601 Grand River Ave, B233, Novi, MI 48374-1233 Ph: (248) 465-4847 |
Dr. Jacalyn Meredith Bishop, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 25500 Meadowbrook Rd, Suite 130, Novi, MI 48375 Phone: 248-347-3344 Fax: 248-305-6845 | |
Dr. Hussein Azzam, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 46325 W 12 Mile Rd Ste 215, Novi, MI 48377 Phone: 248-347-8121 Fax: 248-305-6254 | |
Dr. Preeti Venkataraman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 50002 Streamwood Dr, Novi, MI 48374 Phone: 646-271-6140 | |
Dr. Susan Jean Laurent, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 23965 Novi Rd, Suite 100, Novi, MI 48375 Phone: 248-348-2100 Fax: 248-348-4772 | |
Dr. Caroline Reed Meldrum, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 26850 Providence Pkwy, Suite 455, Novi, MI 48374 Phone: 248-465-4847 Fax: 248-465-4477 | |
Angelika Rector, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 44070 W 12 Mile Rd Ste 100, Novi, MI 48377 Phone: 248-347-8040 |