Mrs Chandra L Delorenzo, DO | |
416 Connable Ave, Petoskey, MI 49770-2212 | |
(231) 487-4000 | |
Not Available |
Full Name | Mrs Chandra L Delorenzo |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 416 Connable Ave, Petoskey, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376588897 | NPI | - | NPPES |
1376588897 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 5101011991 (Michigan) | Primary |
Entity Name | Mclaren Central Michigan |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245266063 PECOS PAC ID: 6103733092 Enrollment ID: O20040309000447 |
Entity Name | Mclaren Northern Michigan |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760736094 PECOS PAC ID: 9931018181 Enrollment ID: O20040415001193 |
Mailing Address | Practice Location Address |
---|---|
Mrs Chandra L Delorenzo, DO 416 Connable Ave, Petoskey, MI 49770-2212 Ph: (231) 487-4000 | Mrs Chandra L Delorenzo, DO 416 Connable Ave, Petoskey, MI 49770-2212 Ph: (231) 487-4000 |
Dr. Dennis Edward Mcgeath, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 345 N Division Rd, Suite D, Petoskey, MI 49770 Phone: 231-347-8382 Fax: 231-347-6628 | |
Dr. Marla M Signs, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2390 Mitchell Park Dr, Suite A, Petoskey, MI 49770 Phone: 231-487-2250 Fax: 231-348-7972 | |
Dr. Jill Susanne Decker, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 345 N Division Rd, Suite D, Petoskey, MI 49770 Phone: 231-347-8382 Fax: 231-347-6628 | |
Lauren Wadland Meisel, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2390 Mitchell Park Dr Ste A, Petoskey, MI 49770 Phone: 231-487-2250 Fax: 231-412-6360 |