Stephen Glen Markham, RN | |
51350 Ford Rd, Canton, MI 48187-4638 | |
(734) 560-6765 | |
Not Available |
Full Name | Stephen Glen Markham |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 51350 Ford Rd, Canton, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790377331 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 4704326909 (Michigan) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4704326909 (Michigan) | Primary |
Entity Name | Family Medical Center Of Michigan,inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265591812 PECOS PAC ID: 2769575653 Enrollment ID: O20070910000059 |
Mailing Address | Practice Location Address |
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Stephen Glen Markham, RN 51350 Ford Rd, Canton, MI 48187-4638 Ph: (734) 560-6765 | Stephen Glen Markham, RN 51350 Ford Rd, Canton, MI 48187-4638 Ph: (734) 560-6765 |
Lucinda Pryor, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1161 Stacy Dr, Canton, MI 48188 Phone: 313-740-5358 | |
Wendy Storey, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 49650 Cherry Hill Rd, Suite 210, Canton, MI 48187 Phone: 734-398-7899 Fax: 734-398-7895 | |
Molly Mcintyre, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 49650 Cherry Hill Rd, Suite 210, Canton, MI 48187 Phone: 734-398-7899 Fax: 734-398-7895 | |
Patricia Reckling, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 49650 Cherry Hill Rd, Suite 210, Canton, MI 48187 Phone: 734-398-7899 Fax: 734-398-7895 | |
Jaclyn Riley, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2050 N Haggerty Rd Ste 200, Canton, MI 48187 Phone: 313-550-3353 | |
Jennifer Martz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6300 N Haggerty Rd, Suite Number 210, Canton, MI 48187 Phone: 734-641-3000 | |
Katelyn Marie Carey, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 45300 Lothrop Rd, Canton, MI 48188 Phone: 734-812-9895 |