Daniel Wunderlich, MD | |
4005 Orchard Dr, Midland, MI 48670-0001 | |
(989) 839-3476 | |
Not Available |
Full Name | Daniel Wunderlich |
---|---|
Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 4005 Orchard Dr, Midland, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982797064 | NPI | - | NPPES |
4778627 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | DW071048 (Michigan) | Primary |
Entity Name | Midland Pathology Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487747473 PECOS PAC ID: 6901831544 Enrollment ID: O20051003000064 |
Mailing Address | Practice Location Address |
---|---|
Daniel Wunderlich, MD 4005 Orchard Dr, Midland, MI 48670-0001 Ph: (989) 839-3476 | Daniel Wunderlich, MD 4005 Orchard Dr, Midland, MI 48670-0001 Ph: (989) 839-3476 |
John Hysell, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 4005 Orchard Dr, Midland, MI 48670 Phone: 989-839-3476 | |
James Brian Wendt, MD Pathology Medicare: Medicare Enrolled Practice Location: 4208 E Old Pine Trl, Midland, MI 48642 Phone: 989-631-3143 | |
Mark Bennett Hoddinott, MD Pathology Medicare: Medicare Enrolled Practice Location: 4005 Orchard Dr, Mid Michigan Medical Center, Midland, MI 48670 Phone: 989-839-3476 Fax: 989-839-1395 |