Leticia Dantes, MD | |
845 Michigan Ave, Marysville, MI 48040-1404 | |
(810) 364-5050 | |
(810) 364-5688 |
Full Name | Leticia Dantes |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 845 Michigan Ave, Marysville, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265684047 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4301033874 (Michigan) | Primary |
Entity Name | Vpa Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336153295 PECOS PAC ID: 9234041948 Enrollment ID: O20031103000102 |
Mailing Address | Practice Location Address |
---|---|
Leticia Dantes, MD Po Box 1239, Troy, MI 48099-1239 Ph: (248) 824-6622 | Leticia Dantes, MD 845 Michigan Ave, Marysville, MI 48040-1404 Ph: (810) 364-5050 |
Dr. Rigel Galera, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1985 Gratiot Blvd, Suite 2a, Marysville, MI 48040 Phone: 810-364-5050 Fax: 810-364-5688 | |
Igor Nedic, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3350 Gratiot Blvd, Marysville, MI 48040 Phone: 810-364-4000 Fax: 810-364-5995 | |
Dr. Steven Alan Ledtke, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 875 Michigan Ave, Marysville, MI 48040 Phone: 810-364-8600 Fax: 810-364-4346 | |
Amgad Nashed-awad, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1985 Gratiot Blvd, Suite 2a, Marysville, MI 48040 Phone: 810-364-5050 Fax: 810-364-5688 | |
Kristina Pamukov, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3350 Gratiot Blvd, Marysville, MI 48040 Phone: 810-364-4000 Fax: 810-364-5995 | |
Dr. John Domenico Colombo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3350 Gratiot Blvd, Marysville, MI 48040 Phone: 810-364-4000 Fax: 810-364-5995 |