| Cathy Fakler Azzarello, MD | |
|
500 Campus Dr, Hancock, MI 49930-1452 | |
| (906) 483-1700 | |
| (906) 372-3230 |
| Full Name | Cathy Fakler Azzarello |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 500 Campus Dr, Hancock, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427166313 | NPI | - | NPPES |
| 1427166313 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 4301111513 (Michigan) | Primary |
| Entity Name | The Medical College Of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
| Mailing Address | Practice Location Address |
|---|---|
| Cathy Fakler Azzarello, MD 301 Explorer St, Gwinn, MI 49841-2813 Ph: (906) 346-4924 | Cathy Fakler Azzarello, MD 500 Campus Dr, Hancock, MI 49930-1452 Ph: (906) 483-1700 |
Colleen Marie Vallad-hix, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1700 Fax: 906-372-3230 | |
Dr. Rajanee Sripaipan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1700 Fax: 906-483-1717 | |
Dr. Janice Klemp, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1700 Fax: 906-483-1122 | |
Dr. Michael Verive, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Campus Dr, Ste 5, Hancock, MI 49930 Phone: 906-483-1700 Fax: 906-483-1270 | |
Julia I Frei, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1700 Fax: 906-372-3230 | |
Dr. Jared Michael Meyette, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1700 Fax: 906-372-3230 |