Laurel Doherty, DO | |
5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | |
(616) 252-7200 | |
Not Available |
Full Name | Laurel Doherty |
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Gender | Female |
Speciality | Internal Medicine |
Location | 5900 Byron Center Ave Sw, Wyoming, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710338504 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 5101022221 (Michigan) | Primary |
Entity Name | Mymichigan Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740230127 PECOS PAC ID: 4981501939 Enrollment ID: O20040126000905 |
Mailing Address | Practice Location Address |
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Laurel Doherty, DO 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 Ph: () - | Laurel Doherty, DO 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 Ph: (616) 252-7200 |
Mark J Tieszen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7200 | |
William Marc Katz, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2093 Health Dr Sw, Ste 200, Wyoming, MI 49519 Phone: 616-459-3158 Fax: 616-819-2222 | |
Dr. Srinivas Reddy Mummadi, MBBS Internal Medicine Medicare: Medicare Enrolled Practice Location: 2122 Health Dr Sw, Wyoming, MI 49519 Phone: 616-252-5220 Fax: 616-252-5770 | |
Kurt Koepnick, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 6105 Wilson Ave Sw, Suite 202, Wyoming, MI 49418 Phone: 616-267-7220 | |
Dr. John Allen Key, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-241-2333 Fax: 616-452-6767 | |
Danielle Light, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7200 | |
Tandy Champion, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4166 56th St Sw, Wyoming, MI 49418 Phone: 616-249-1850 Fax: 616-532-8657 |