Dr Travis Edward Fairbanks, DNP | |
3401 Ludington St, Escanaba, MI 49829-1300 | |
(906) 786-5707 | |
Not Available |
Full Name | Dr Travis Edward Fairbanks |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 3401 Ludington St, Escanaba, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134901846 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LF0000X | Nurse Practitioner - Family | F04230411 (Michigan) | Primary |
Entity Name | Dlp Marquette Physician Practices Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487902995 PECOS PAC ID: 9931359601 Enrollment ID: O20121016000312 |
Mailing Address | Practice Location Address |
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Dr Travis Edward Fairbanks, DNP 321 W Magnetic St Apt 2, Marquette, MI 49855-2747 Ph: (906) 399-3077 | Dr Travis Edward Fairbanks, DNP 3401 Ludington St, Escanaba, MI 49829-1300 Ph: (906) 786-5707 |
Ashlee Laplant, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 710 S Lincoln Rd Ste 100, Escanaba, MI 49829 Phone: 906-786-4862 | |
Stacey Lynn Cole, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3409 Ludington St Ste 104, Escanaba, MI 49829 Phone: 906-786-8343 | |
Rhian E Dalgord, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3409 Ludington St Ste 100, Escanaba, MI 49829 Phone: 906-789-4414 Fax: 906-789-4406 | |
Clarice Jane Laporte, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 126 S 25th St, Escanaba, MI 49829 Phone: 906-789-3701 Fax: 906-233-1934 | |
Tonja Oswald, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 901 S Lincoln Rd Ste 2, Escanaba, MI 49829 Phone: 906-212-4933 | |
Leah Rachelle Hongisto, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3409 Ludington Street, Escanaba, MI 49829 Phone: 906-428-5403 Fax: 906-789-4503 |