Vicente M Medalle, MD | |
1460 N Center Rd, Burton, MI 48509-1429 | |
(810) 715-4620 | |
(810) 715-4602 |
Full Name | Vicente M Medalle |
---|---|
Gender | Male |
Speciality | Emergency Medicine - Emergency Medical Services |
Location | 1460 N Center Rd, Burton, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578546529 | NPI | - | NPPES |
VM033720 | Other | BLUE CROSS BLUE SHIELD | |
P00213537 | Other | RAILROAD MEDICARE | |
3332980 | Medicaid | MI | |
3332962 | Medicaid | MI | |
3332971 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 4301033720 (Michigan) | Secondary |
207PE0004X | Emergency Medicine - Emergency Medical Services | 4301033720 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Vicente M Medalle, MD 1460 N Center Rd, Burton, MI 48509-1429 Ph: (810) 715-4620 | Vicente M Medalle, MD 1460 N Center Rd, Burton, MI 48509-1429 Ph: (810) 715-4620 |
Dr. Tara K Byrne, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1096 S Belsay Rd, Suite C, Burton, MI 48509 Phone: 810-743-3351 |