Ryan Balacanao Huerto, MD | |
200 Arnet St, Ypsilanti, MI 48198-5753 | |
(734) 482-6221 | |
Not Available |
Full Name | Ryan Balacanao Huerto |
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Gender | Male |
Speciality | Family Medicine |
Location | 200 Arnet St, Ypsilanti, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1023472818 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 4301500319 (Michigan) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Ryan Balacanao Huerto, MD 3621 S State St, Ann Arbor, MI 48108-1633 Ph: (734) 647-5299 | Ryan Balacanao Huerto, MD 200 Arnet St, Ypsilanti, MI 48198-5753 Ph: (734) 482-6221 |
Christine Theresa Cigolle, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 200 Arnett St, Suite 200, Ypsilanti, MI 48198 Phone: 734-482-6221 | |
Dr. Michael Washburn Smith, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3145 W Clark Rd, Suite 201, Ypsilanti, MI 48197 Phone: 734-528-5700 Fax: 734-572-9100 | |
Laura Emily Ann Lee, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Arnet St, Ypsilanti, MI 48198 Phone: 734-482-6221 | |
Ross Philip Schmaeman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4940 W Clark Rd Ste 100, Ypsilanti, MI 48197 Phone: 734-971-1188 Fax: 734-971-3658 | |
Dr. Robert Breakey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4940 W Clark Rd, Ste 100, Ypsilanti, MI 48197 Phone: 734-971-1188 Fax: 734-971-3658 | |
Ellen H. Gryniewicz, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3145 W Clark Rd, Suite 401, Ypsilanti, MI 48197 Phone: 734-528-5700 Fax: 734-528-5701 |