Dr Frederick William Born, DO | |
4077 S Cleveland Ave, Saint Joseph, MI 49085-9513 | |
(269) 429-2992 | |
(269) 429-3372 |
Full Name | Dr Frederick William Born |
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Gender | Male |
Speciality | Family Medicine |
Location | 4077 S Cleveland 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 |
---|---|---|---|
1295735751 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 510 100 9712 (Michigan) | Primary |
Entity Name | Lakeland Medical Practices |
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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 |
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Dr Frederick William Born, DO 4077 S Cleveland Ave, Saint Joseph, MI 49085-9513 Ph: (269) 429-2992 | Dr Frederick William Born, DO 4077 S Cleveland Ave, Saint Joseph, MI 49085-9513 Ph: (269) 429-2992 |
Dr. Matthew J Campbell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 Momany Dr, Saint Joseph, MI 49085 Phone: 269-928-1947 Fax: 269-982-1950 | |
Dr. Kaitlyn Hope Chung, DNP, FNP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085 Phone: 269-983-8300 | |
Sydney Alexander, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085 Phone: 269-982-4941 | |
Dr. Gary Witucki, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085 Phone: 269-983-8601 | |
Dr. Paige Moreno, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085 Phone: 269-982-4941 | |
Allison Demarris Meadows, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2500 Niles Rd, Suite 1, Saint Joseph, MI 49085 Phone: 269-429-5000 |