Dr Darryl Tonemah, PHD, | |
102 Superior Ave, Baraga, MI 49908-9673 | |
(906) 353-8700 | |
Not Available |
Full Name | Dr Darryl Tonemah |
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Gender | Male |
Speciality | Psychologist - Counseling |
Location | 102 Superior Ave, Baraga, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922575570 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC1900X | Psychologist - Counseling | 6301017752 (Michigan) | Secondary |
103TC1900X | Psychologist - Counseling | 1314 (Oklahoma) | Primary |
Entity Name | Lac Vieux Desert Band Of Lake Superior Chippewa Indians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114071578 PECOS PAC ID: 2567629181 Enrollment ID: O20160104002159 |
Entity Name | Keweenaw Bay Indian Community |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336232289 PECOS PAC ID: 7315070471 Enrollment ID: O20241213001074 |
Mailing Address | Practice Location Address |
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Dr Darryl Tonemah, PHD, 3271 Palmer Rd, Ransomville, NY 14131-9686 Ph: () - | Dr Darryl Tonemah, PHD, 102 Superior Ave, Baraga, MI 49908-9673 Ph: (906) 353-8700 |
Ms. Marianne J Brady, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 102 Superior Ave, Baraga, MI 49908 Phone: 906-353-8700 Fax: 906-353-8799 | |
Arthur Schimelfenig, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 102 Superior Ave, Baraga, MI 49908 Phone: 906-353-4542 Fax: 906-353-8799 |