| Bruce C Washington, MD | |
|
18181 Oakwood Blvd, Suite 102, Dearborn, MI 48124-5032 | |
| (313) 982-5533 | |
| (313) 982-5508 |
| Full Name | Bruce C Washington |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 18181 Oakwood Blvd, Dearborn, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407814858 | NPI | - | NPPES |
| 104432256 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 4301039685 (Michigan) | Primary |
| 2086S0129X | Surgery - Vascular Surgery | 4301039685 (Michigan) | Secondary |
| Entity Name | University Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447299797 PECOS PAC ID: 8628087681 Enrollment ID: O20060419000518 |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce C Washington, MD 1420 Stephenson Hwy, Suite 400-credentialing, Troy, MI 48083-1189 Ph: (248) 581-5974 | Bruce C Washington, MD 18181 Oakwood Blvd, Suite 102, Dearborn, MI 48124-5032 Ph: (313) 982-5533 |
Dr. Matthew Joseph Hunt, DO Surgery Medicare: Not Enrolled in Medicare Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 | |
John J Fath, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-982-5440 | |
Shawn Cuyler Dowling, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 18181 Oakwood Blvd Ste 212, Dearborn, MI 48124 Phone: 313-438-7397 | |
Erik Rafael Gamarra, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-8660 | |
Guat Sia Sy Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 17000 Hubbard Dr, Suite 700, Dearborn, MI 48126 Phone: 313-271-2990 Fax: 313-271-1698 | |
Zachary Fent, DO, MS Surgery Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 | |
Daniel Rebock, DO Surgery Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 |