Ian Skinner, DO | |
15855 19 Mile Rd, Clinton Township, MI 48038-3504 | |
(586) 263-2953 | |
Not Available |
Full Name | Ian Skinner |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 15855 19 Mile Rd, Clinton Township, 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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1225455371 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207P00000X | Emergency Medicine | 5101021255 (Michigan) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Ian Skinner, DO 15855 19 Mile Rd, Clinton Township, MI 48038-3504 Ph: () - | Ian Skinner, DO 15855 19 Mile Rd, Clinton Township, MI 48038-3504 Ph: (586) 263-2953 |
Dr. Steven Denhof, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2300 | |
Dr. James Lee, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2950 | |
Nicole Adams, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2300 | |
Dr. Jennifer Serene Wong, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2953 | |
Dr. Ernesto M Juarez Jr., D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2950 Fax: 586-263-2975 | |
Dr. Costandinos Tsagaratos, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2601 Fax: 586-263-2589 | |
Dr. Emre Conklu, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Office Of Medical Education, Clinton Township, MI 48038 Phone: 586-263-2300 |