Mr Olan C Dombroske, DO | |
7115 Cade Rd, Brown City, MI 48416-9778 | |
(810) 346-2757 | |
(810) 346-2016 |
Full Name | Mr Olan C Dombroske |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 7115 Cade Rd, Brown City, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568452811 | NPI | - | NPPES |
0157600104 | Other | MI | BLUE CROSS BLUE SHIELD |
1626158 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0D008339 5101008339 (Michigan) | Primary |
Entity Name | Mclaren Central Michigan |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245266063 PECOS PAC ID: 6103733092 Enrollment ID: O20040309000447 |
Entity Name | Mclaren Lapeer Region |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124151147 PECOS PAC ID: 8123000544 Enrollment ID: O20050730000017 |
Mailing Address | Practice Location Address |
---|---|
Mr Olan C Dombroske, DO 7115 Cade Rd, Brown City, MI 48416-9778 Ph: (810) 346-2757 | Mr Olan C Dombroske, DO 7115 Cade Rd, Brown City, MI 48416-9778 Ph: (810) 346-2757 |
Dr. Daniel Timothy Kulick, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4472 Main St, Brown City, MI 48416 Phone: 810-346-2751 | |
Dr. Michael R Digiovanni, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7115 Cade Rd, Brown City, MI 48416 Phone: 810-346-2757 Fax: 810-346-2016 | |
Robert Towner Brengel, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7115 Cade Rd, Brown City, MI 48416 Phone: 810-346-2757 Fax: 810-346-2016 |