Ismael Enrique Gonzalez Rangel, MD | |
43200 Dequindre Rd Ste 105, Sterling Heights, MI 48314-1707 | |
(248) 780-9490 | |
Not Available |
Full Name | Ismael Enrique Gonzalez Rangel |
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Gender | Male |
Speciality | Pediatrics - Pediatric Cardiology |
Location | 43200 Dequindre Rd Ste 105, Sterling Heights, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1023244126 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0202X | Pediatrics - Pediatric Cardiology | 4301100788 (Michigan) | Primary |
Entity Name | Great Lakes Pediatric Cardiology Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972293967 PECOS PAC ID: 0446612451 Enrollment ID: O20230808001881 |
Mailing Address | Practice Location Address |
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Ismael Enrique Gonzalez Rangel, MD 43200 Dequindre Rd Ste 105, Sterling Heights, MI 48314-1707 Ph: (248) 780-9490 | Ismael Enrique Gonzalez Rangel, MD 43200 Dequindre Rd Ste 105, Sterling Heights, MI 48314-1707 Ph: (248) 780-9490 |
Dr. Rebecca K Wegner, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 42141 Mound Rd, Ste B, Sterling Heights, MI 48314 Phone: 586-254-7593 Fax: 586-254-7834 | |
Mary Burton, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3500 15 Mile Rd, Sterling Heights, MI 48310 Phone: 586-977-6356 | |
Nirali Mody, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 42141 Mound Rd # B, Sterling Heights, MI 48314 Phone: 586-254-7593 Fax: 586-254-7834 | |
Dr. Paul Luke Gogue, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 39242 Dequindre Rd, Suite 101, Sterling Heights, MI 48310 Phone: 586-446-8060 | |
Dr. Leonard B. Pollack, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: Henry Ford Health System, 3500 Fifteen Mile Road, Sterling Heights, MI 48310 Phone: 586-977-9936 Fax: 586-977-6498 | |
Shirlee E. Kuhl, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: Henry Ford Health System, 14500 Hall Road, Sterling Heights, MI 48313 Phone: 586-247-2940 Fax: 586-247-3733 |