Great Lakes Podiatry Pllc | |
126 S 25th St, Suite A, Escanaba, MI 49829-1364 | |
(906) 786-2385 | |
(906) 789-4445 |
Full Name | Great Lakes Podiatry Pllc |
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Type | Facility |
Speciality | Podiatrist |
Location | 126 S 25th St, Escanaba, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225079932 | NPI | - | NPPES |
4729159 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (Michigan) | Primary |
Provider Name | Dennis W Leveille |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1982696209 PECOS PAC ID: 5991777153 Enrollment ID: I20050110000225 |
Provider Name | Rachelle Lynn Leveille |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1629631965 PECOS PAC ID: 7618202177 Enrollment ID: I20220422000781 |
Provider Name | Jake Daniel Eisenschink |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1194286997 PECOS PAC ID: 9638407455 Enrollment ID: I20220503000728 |
Mailing Address | Practice Location Address |
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Great Lakes Podiatry Pllc 126 S 25th St, Suite A, Escanaba, MI 49829-1364 Ph: (906) 786-2385 | Great Lakes Podiatry Pllc 126 S 25th St, Suite A, Escanaba, MI 49829-1364 Ph: (906) 786-2385 |
Rachelle Lynn Leveille, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 126 S 25th St Ste A, Escanaba, MI 49829 Phone: 906-786-2385 | |
Dr. Dennis W Leveille, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 126 S 25th St, Suite A, Escanaba, MI 49829 Phone: 906-786-2385 Fax: 906-789-4445 |