Daniel Wayne Kletzing, MD | |
6301 University Commons, Suite 360, South Bend, IN 46635-1571 | |
(574) 232-4800 | |
(574) 280-4810 |
Full Name | Daniel Wayne Kletzing |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 6301 University Commons, South Bend, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851340590 | NPI | - | NPPES |
01023918 | Other | IN | LICENSE NUMBER |
100143280A | Medicaid | IN | |
000000085512 | Other | IN | ANTHEM BCBS PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 01023918 (Indiana) | Primary |
Entity Name | Allied Physicians Of Michiana, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508191768 PECOS PAC ID: 4486627601 Enrollment ID: O20091216000468 |
Mailing Address | Practice Location Address |
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Daniel Wayne Kletzing, MD 6301 University Commons, 360, South Bend, IN 46635-1571 Ph: (574) 232-4800 | Daniel Wayne Kletzing, MD 6301 University Commons, Suite 360, South Bend, IN 46635-1571 Ph: (574) 232-4800 |
Adam Snoap, Otolaryngology Medicare: Medicare Enrolled Practice Location: 100 Navarre Pl, Ste 4460, South Bend, IN 46601 Phone: 574-235-1010 Fax: 574-232-2064 | |
Douglas Liepert, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 53760 Generations Dr, South Bend, IN 46635 Phone: 574-500-2010 Fax: 888-919-1083 | |
Maher Abu-hamdan, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 6301 University Commons, Suite 360, South Bend, IN 46635 Phone: 574-232-4800 Fax: 574-280-4810 | |
Jon Blake Chadwell, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 6301 University Commons, Suite 360, South Bend, IN 46635 Phone: 574-232-4800 Fax: 574-280-4810 | |
Sonia Yuen, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 100 Navarre Pl Ste 4460, South Bend, IN 46601 Phone: 574-235-1010 Fax: 574-232-2064 | |
Stephen T Mctigue, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 6301 University Commons, Suite 360, South Bend, IN 46635 Phone: 574-232-4800 Fax: 574-280-4810 | |
Dr. David J Isaacson, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 100 Navarre Pl Ste 4460, South Bend, IN 46601 Phone: 574-235-1010 Fax: 574-232-2064 |