Phong Dang, | |
28050 Grand River Ave, Farmington Hills, MI 48336-5919 | |
(947) 521-8000 | |
Not Available |
Full Name | Phong Dang |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 28050 Grand River Ave, Farmington Hills, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508548439 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 4704322234 (Michigan) | Primary |
Entity Name | Botsford General Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235179664 PECOS PAC ID: 2668385238 Enrollment ID: O20031113000500 |
Mailing Address | Practice Location Address |
---|---|
Phong Dang, 28050 Grand River Ave, Farmington Hills, MI 48336-5919 Ph: (947) 521-8000 | Phong Dang, 28050 Grand River Ave, Farmington Hills, MI 48336-5919 Ph: (947) 521-8000 |
Jeannine Dahl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 31923 Bella Vista Dr, Farmington Hills, MI 48334 Phone: 734-673-5097 | |
Elizabeth Heath, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 28500 Orchard Lake Rd, Farmington Hills, MI 48334 Phone: 952-442-9770 | |
Ann M Chalmers-corrick, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 248-471-8720 Fax: 248-471-8966 | |
Ovieh D Onomake, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 248-471-8720 Fax: 248-471-8966 | |
Katelynn Jo Barszczowski, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 947-521-8000 | |
Anahid A Nazaretian, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 248-471-8000 Fax: 248-471-8966 | |
Bonita K Empel, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 28500 Orchard Lake Rd, Farmington Hills, MI 48334 Phone: 952-442-9770 |