Jose Maldonado-vazquez, MD | |
104 W 6th St, Clare, MI 48617-1409 | |
(989) 386-9951 | |
Not Available |
Full Name | Jose Maldonado-vazquez |
---|---|
Gender | Male |
Speciality | Emergency Medicine - Emergency Medical Services |
Location | 104 W 6th St, Clare, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669413282 | NPI | - | NPPES |
4081947 | Medicaid | MI | |
JM069529 | Other | MI | BC/BS |
4081938 | Medicaid | MI | |
4081929 | Medicaid | MI | |
4091934 | Medicaid | MI | |
4091943 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | 069529 (Michigan) | Primary |
Entity Name | Sparrow Carson Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598490542 PECOS PAC ID: 7113836701 Enrollment ID: O20040126000046 |
Mailing Address | Practice Location Address |
---|---|
Jose Maldonado-vazquez, MD 2000 Green Rd, Suite 300, Ann Arbor, MI 48105-1598 Ph: () - | Jose Maldonado-vazquez, MD 104 W 6th St, Clare, MI 48617-1409 Ph: (989) 386-9951 |
Dr. Jesus Hernandez Jr., M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 104 W 6th St, Clare, MI 48617 Phone: 989-386-9951 | |
Gregory J Endresbercher, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 104 W 6th St, Clare, MI 48617 Phone: 989-386-9951 | |
Alan D Bersted, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 104 W 6th St, Clare, MI 48617 Phone: 989-386-9951 |