Desire M Andersen, MD | |
1234 Napier Ave, Saint Joseph, MI 49085-2112 | |
(269) 983-8500 | |
(269) 985-4535 |
Full Name | Desire M Andersen |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1234 Napier Ave, Saint Joseph, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093033029 | NPI | - | NPPES |
1093033029 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4301103974 (Michigan) | Primary |
Entity Name | Lakeland Medical Practices |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216 |
Mailing Address | Practice Location Address |
---|---|
Desire M Andersen, MD 1234 Napier Ave, Saint Joseph, MI 49085-2112 Ph: (269) 983-8500 | Desire M Andersen, MD 1234 Napier Ave, Saint Joseph, MI 49085-2112 Ph: (269) 983-8500 |
Cory Minier Schmidt, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085 Phone: 269-985-4632 Fax: 269-985-4523 | |
Mukund Shah, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3800 Hollywood Rd, Suite 102, Saint Joseph, MI 49085 Phone: 269-428-2727 Fax: 269-428-0377 | |
Michael Raymond Warmoth, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085 Phone: 269-985-4632 | |
Dr. Sheila Frances Waslawski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085 Phone: 269-985-4632 | |
Dr. David Andrew Driscoll, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2516 Niles Ave, Saint Joseph, MI 49085 Phone: 269-983-6518 Fax: 269-983-0955 | |
Marmik Patel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085 Phone: 269-985-4632 |