Li Song, NP | |
29245 Ryan Rd Ste 300, Warren, MI 48092-4230 | |
(586) 578-0222 | |
Not Available |
Full Name | Li Song |
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Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 29245 Ryan Rd Ste 300, Warren, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043601164 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704261932 (Michigan) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | 4704261932 (Michigan) | Primary |
Entity Name | Mazher Hussain Md, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255581682 PECOS PAC ID: 6305908088 Enrollment ID: O20081215000750 |
Mailing Address | Practice Location Address |
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Li Song, NP 3575 Wyndam Ln, Rochester, MI 48306-4756 Ph: (248) 990-0476 | Li Song, NP 29245 Ryan Rd Ste 300, Warren, MI 48092-4230 Ph: (586) 578-0222 |
Lauren Koenig, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4669 E 8 Mile Rd, Warren, MI 48091 Phone: 313-416-6262 | |
Rowena Callo Teodoro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27560 Hoover Rd., Warren, MI 48093 Phone: 586-757-6400 Fax: 586-757-8400 | |
Mrs. Lauren Ashley Zipay, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5000 | |
Olga Dmitryuk, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11480 E 13 Mile Rd, Warren, MI 48093 Phone: 586-216-9253 | |
Alexander Cole-selvaggio, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27101 Schoenherr Rd, Warren, MI 48088 Phone: 586-758-5800 Fax: 586-758-5841 | |
Jenny Dessinger, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27560 Hoover Rd, Warren, MI 48093 Phone: 586-757-6400 |