| Cheryl Gibson Fountain, MD | |
|
15050 E Jefferson Ave, Grosse Pointe Park, MI 48230-2050 | |
| (313) 823-4682 | |
| (313) 823-8022 |
| Full Name | Cheryl Gibson Fountain |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 15050 E Jefferson Ave, Grosse Pointe Park, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184612574 | NPI | - | NPPES |
| 700H249730 | Other | MI | BCBS GROUP NUMBER |
| 4502234 | Medicaid | MI | |
| 4417616 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 4301052473 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Cheryl Gibson Fountain, MD 43800 Garfield Rd, Clinton Twp, MI 48038-1136 Ph: (800) 848-0202 | Cheryl Gibson Fountain, MD 15050 E Jefferson Ave, Grosse Pointe Park, MI 48230-2050 Ph: (313) 823-4682 |
Linda M Karadsheh, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 15200 Kercheval Ave, Grosse Pointe Park, MI 48230 Phone: 947-519-6750 Fax: 751-947-5196 |