| Eisenhower Center | |
|
3200 E Eisenhower Pkwy Ann Arbor MI 48108-3231 | |
| (734) 677-0070 | |
| (734) 677-0890 |
| Full Name | Eisenhower Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 3200 E Eisenhower Pkwy, Ann Arbor, Michigan |
| Authorized Official Name and Position | Tanja Taddonio (BILLING AND COLLECTIONS MANAGER) |
| Authorized Official Contact | 7346770070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eisenhower Center 3200 E Eisenhower Pkwy Ann Arbor MI 48108-3231 Ph: (734) 677-0070 | Eisenhower Center 3200 E Eisenhower Pkwy Ann Arbor MI 48108-3231 Ph: (734) 677-0070 |
| NPI Number | 1558544130 |
|---|---|
| Provider Enumeration Date | 12/06/2007 |
| Last Update Date | 11/16/2020 |
| Certification Date | 11/16/2020 |
| Medicare PECOS PAC ID | 1456539337 |
|---|---|
| Medicare Enrollment ID | O20140701002685 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558544130 | NPI | - | NPPES |
| Provider Name | Paul Y Gutterman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629140611 PECOS PAC ID: 5496719346 Enrollment ID: I20041122000168 |
| Provider Name | Michelle K Klaty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114104601 PECOS PAC ID: 4082632823 Enrollment ID: I20110907000830 |
| Provider Name | Ernest Poortinga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922104421 PECOS PAC ID: 8224291448 Enrollment ID: I20120524000595 |
| Provider Name | Todd E Moore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649303876 PECOS PAC ID: 2365605599 Enrollment ID: I20120524000663 |
| Provider Name | Angela Krawiec |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831518703 PECOS PAC ID: 3173749355 Enrollment ID: I20140724000097 |
| Provider Name | Camilla Meade |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558885699 PECOS PAC ID: 2668722471 Enrollment ID: I20180829000109 |
| Provider Name | Kerry Lynn Droste |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659869113 PECOS PAC ID: 5597090183 Enrollment ID: I20190719002200 |
| Provider Name | Melissa A Winkler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881987030 PECOS PAC ID: 4385078146 Enrollment ID: I20200102002188 |
| Provider Name | Renee Francine Clemons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659858223 PECOS PAC ID: 3779995428 Enrollment ID: I20201222001070 |
| Provider Name | Stephanie Olszewski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134714264 PECOS PAC ID: 6305255910 Enrollment ID: I20210512001140 |
| Provider Name | Jacqueline Whitus |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912660689 PECOS PAC ID: 4284005182 Enrollment ID: I20230131002161 |
| Provider Name | Linda Kay Perkins |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1609457472 PECOS PAC ID: 2466811666 Enrollment ID: I20230707000611 |
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