John J Fath, MD | |
18101 Oakwood Blvd, Dearborn, MI 48124-4089 | |
(313) 982-5440 | |
Not Available |
Full Name | John J Fath |
---|---|
Gender | Male |
Speciality | Surgery - Surgical Critical Care |
Location | 18101 Oakwood Blvd, Dearborn, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013909837 | NPI | - | NPPES |
465852010 | Medicaid | MI | |
4301051219 | Other | MI | CONTROLLED SUSBSTANCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0102X | Surgery - Surgical Critical Care | 4301051219 (Michigan) | Primary |
Entity Name | Acute Care Surgeons Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730415753 PECOS PAC ID: 6002956265 Enrollment ID: O20091218000206 |
Mailing Address | Practice Location Address |
---|---|
John J Fath, MD 3355 Glendale Ave, 3rd Floor, Toledo, OH 43614-2426 Ph: (419) 383-7146 | John J Fath, MD 18101 Oakwood Blvd, Dearborn, MI 48124-4089 Ph: (313) 982-5440 |
Shawn Cuyler Dowling, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 18181 Oakwood Blvd Ste 212, Dearborn, MI 48124 Phone: 313-438-7397 | |
Erik Rafael Gamarra, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-8660 | |
Guat Sia Sy Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 17000 Hubbard Dr, Suite 700, Dearborn, MI 48126 Phone: 313-271-2990 Fax: 313-271-1698 | |
Zachary Fent, DO, MS Surgery Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 | |
Daniel Rebock, DO Surgery Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 | |
Dr. Yue Chin, DO Surgery Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 |