Evan House Pelc, DO | |
8906 M 89, Richland, MI 49083 | |
(269) 286-7130 | |
(269) 286-7131 |
Full Name | Evan House Pelc |
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Gender | Male |
Speciality | Pediatrics |
Location | 8906 M 89, Richland, 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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1811286966 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 5101019245 (Michigan) | Primary |
Entity Name | Bronson Methodist Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417961137 PECOS PAC ID: 0244148633 Enrollment ID: O20031208000832 |
Entity Name | Ascension Medical Group Promed |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497709869 PECOS PAC ID: 7315856077 Enrollment ID: O20031216000478 |
Mailing Address | Practice Location Address |
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Evan House Pelc, DO 5943 Stadium Dr, Kalamazoo, MI 49009-3016 Ph: () - | Evan House Pelc, DO 8906 M 89, Richland, MI 49083 Ph: (269) 286-7130 |
Ashley Elizabeth Diehl, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 8906 M 89, Richland, MI 49083 Phone: 269-286-7130 Fax: 269-286-7131 | |
Aimee E Simpson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8906 M 89, Richland, MI 49083 Phone: 269-286-7130 Fax: 269-286-7131 | |
Eric Slosberg, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8450 N 32nd St, Richland, MI 49083 Phone: 269-226-2500 | |
Dr. Chassity Stoneburgh, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8450 N 32nd St, Richland, MI 49083 Phone: 269-552-2500 | |
Saadia Rahman, Pediatrics Medicare: Medicare Enrolled Practice Location: 8906 M 89, Richland, MI 49083 Phone: 269-286-7130 Fax: 269-286-7131 |