Michelle Sarah Glick, MD | |
1500 East Medical Ctr Dr, Ann Arbor, MI 48109-5718 | |
(734) 647-1774 | |
Not Available |
Full Name | Michelle Sarah Glick |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1500 East Medical Ctr Dr, Ann Arbor, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699335414 | NPI | - | NPPES |
5315207207 | Other | MI | CONTROLLED SUBSTANCE LICENSE |
4351045103 | Other | MI | LIMITED EDUC LICENSES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4351045103 (Michigan) | Primary |
Entity Name | Downtown Bronx Medical Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689618407 PECOS PAC ID: 9638082746 Enrollment ID: O20031106000016 |
Entity Name | Physician Affiliate Group Of New York Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013375526 PECOS PAC ID: 4688098833 Enrollment ID: O20200721001270 |
Mailing Address | Practice Location Address |
---|---|
Michelle Sarah Glick, MD 1500 East Medical Ctr Dr, Mpb D3230 Spc 5718, Ann Arbor, MI 48109-5718 Ph: (734) 647-1774 | Michelle Sarah Glick, MD 1500 East Medical Ctr Dr, Ann Arbor, MI 48109-5718 Ph: (734) 647-1774 |
Dr. Michael Edmund Watson, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000 | |
Joanna Van Beek, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1500 E Medical Center Dr, D3238 Mpb Spc 5718, Ann Arbor, MI 48109 Phone: 734-763-5589 Fax: 734-763-4208 | |
Ashleigh Grund El Sakr, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4900 Jackson Rd Ste A, Ann Arbor, MI 48103 Phone: 734-998-7380 | |
Jennifer Rose Blase, MD, PH.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000 | |
Vishvanie Bernadene Stoody, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000 | |
Maysa Hamade, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000 | |
Dr. Alejandro Velez Lopez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000 |