Latisha Nicole Carter-blanks, MD | |
39901 Traditions Dr, Suite 240, Northville, MI 48168-9493 | |
(248) 888-9000 | |
Not Available |
Full Name | Latisha Nicole Carter-blanks |
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Gender | Female |
Speciality | Pediatrics |
Location | 39901 Traditions Dr, Northville, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700923810 | NPI | - | NPPES |
1700923810 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4301079976 (Michigan) | Primary |
Entity Name | Regents Of The University Of Michigan |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205868353 PECOS PAC ID: 3779496856 Enrollment ID: O20031106000325 |
Mailing Address | Practice Location Address |
---|---|
Latisha Nicole Carter-blanks, MD 3621 S State St, 700 Kms Place, Ann Arbor, MI 48108 Ph: (734) 936-2047 | Latisha Nicole Carter-blanks, MD 39901 Traditions Dr, Suite 240, Northville, MI 48168-9493 Ph: (248) 888-9000 |
Kathleen Frances Delaney, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 39901 Traditions Dr, Northville, MI 48168 Phone: 734-539-5080 | |
Heba Abu-isa, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 39901 Traditions Dr, Suite 240, Northville, MI 48168 Phone: 248-305-4400 | |
David A Hanauer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 39901 Traditions Drive, Suite 240, Northville, MI 48158 Phone: 248-305-4400 | |
Shannon Leigh Taut, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 39901 Traditions Dr, Suite 240, Northville, MI 48168 Phone: 248-305-4400 | |
Sarah Jane Laginess, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 39901 Traditions Dr, Northville, MI 48168 Phone: 249-354-4400 | |
Jill Alina Lancaster, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 39901 Traditions Dr, Suite 240, Northville, MI 48168 Phone: 248-888-9000 |