| Caitlin Marie Wahl, | |
|
27900 Grand River Ave Ste 230, Farmington Hills, MI 48336-5965 | |
| (947) 521-4828 | |
| Not Available |
| Full Name | Caitlin Marie Wahl |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 27900 Grand River Ave Ste 230, 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 |
|---|---|---|---|
| 1245626662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 4301507823 (Michigan) | Primary |
| Entity Name | Beaumont Medical Group- Specialty Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
| Mailing Address | Practice Location Address |
|---|---|
| Caitlin Marie Wahl, 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: () - | Caitlin Marie Wahl, 27900 Grand River Ave Ste 230, Farmington Hills, MI 48336-5965 Ph: (947) 521-4828 |
Peter Magdy William Habib, DO Surgery Medicare: Medicare Enrolled Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 248-471-8000 | |
William L Kestenberg, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 32255 Northwestern Hwy, Ste 145, Farmington Hills, MI 48334 Phone: 248-539-3027 Fax: 248-419-3535 | |
Ashley Armbruster, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 28080 Grand River Ave, #209, Farmington Hills, MI 48336 Phone: 248-471-8829 | |
Killian Llewellyn, Surgery Medicare: Medicare Enrolled Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 947-521-2516 | |
Stephanie Agudelo, DO Surgery Medicare: Not Enrolled in Medicare Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 947-521-8000 | |
Dr. Nicholas James St.hilaire, D.O., M.P.H., M.S. Surgery Medicare: Accepting Medicare Assignments Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 248-471-8000 |