Shauna Harris, | |
44555 Woodward Ave Ste 404, Pontiac, MI 48341-5036 | |
(248) 858-6762 | |
Not Available |
Full Name | Shauna Harris |
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Gender | Female |
Speciality | Obstetrics & Gynecology - Maternal & Fetal Medicine |
Location | 44555 Woodward Ave Ste 404, Pontiac, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588051221 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 291764445 (New York) | Secondary |
207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | 4301119080 (Michigan) | Primary |
Entity Name | University Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447299797 PECOS PAC ID: 8628087681 Enrollment ID: O20060419000518 |
Mailing Address | Practice Location Address |
---|---|
Shauna Harris, 24 Frank Lloyd Wright Dr Ste J2000, Ann Arbor, MI 48105-9484 Ph: (734) 747-6766 | Shauna Harris, 44555 Woodward Ave Ste 404, Pontiac, MI 48341-5036 Ph: (248) 858-6762 |
Julie Nguyen, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-6272 | |
Ornogeah Wurah, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 44405 Woodward Ave # H23, Pontiac, MI 48341 Phone: 240-449-5354 | |
Dr. Nikki Ann Reyes Medina, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3231 | |
Dr. Michael L Hicks, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 44405 Woodward Ave, 202, Pontiac, MI 48341 Phone: 248-858-2270 Fax: 248-335-6171 | |
Wahib Shaker, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 44428 Woodward Ave, Suite 104, Pontiac, MI 48341 Phone: 248-858-6272 Fax: 248-858-6279 | |
Samantha Lynn Tremmel, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 44405 Woodward Ave Dept H23, Pontiac, MI 48341 Phone: 248-858-3231 Fax: 248-858-6279 | |
Claudia Kassouf, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 44405 Woodward Avenue, Graduate Medical Education Dept, Pontiac, MI 48341 Phone: 248-858-3231 |