| Daniel L Croteau, MD | |
|
Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | |
| (313) 916-2436 | |
| Not Available |
| Full Name | Daniel L Croteau |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | Henry Ford Health System, Detroit, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215005954 | NPI | - | NPPES |
| DC064484 | Other | CHAMPUS-CHAMPUS | |
| DC064484 | Other | COMMERCIAL-COMMERCIAL NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 4301064484 (Michigan) | Primary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 4301064484 (Michigan) | Secondary |
| Entity Name | Henry Ford Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139 |
| Entity Name | Henry Ford Macomb Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134265986 PECOS PAC ID: 7911808381 Enrollment ID: O20040119000142 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel L Croteau, MD Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 Ph: (313) 916-2436 | Daniel L Croteau, MD Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 Ph: (313) 916-2436 |
Dr. Brent David Griffith, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Kanika Khanna, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Dr. Michael Matthew Dominello, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 4100 John R, Detroit, MI 48201 Phone: 800-527-6266 Fax: 313-576-9640 | |
Rajinder P. Sharma, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 Phone: 313-916-2436 | |
Milan V. Pantelic, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 Phone: 313-916-2436 | |
Kristan Gail Jenkins-mosure, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 800-653-6568 | |
Kristin Booth, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 517-402-1383 |