| Dr Delorean Q Griffin, MD | |
|
4160 John R, 400, Detroit, MI 48202-2819 | |
| (313) 745-7514 | |
| Not Available |
| Full Name | Dr Delorean Q Griffin |
|---|---|
| Gender | Male |
| Speciality | Plastic Surgery |
| Location | 4160 John R, 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 |
|---|---|---|---|
| 1609000819 | NPI | - | NPPES |
| 4301090317 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 4301090317 (Michigan) | Primary |
| 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 | Griffin Plastics Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730845462 PECOS PAC ID: 1456743400 Enrollment ID: O20220125000281 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Delorean Q Griffin, MD 6900 Orchard Lake Rd Ste 105, West Bloomfield, MI 48322-3424 Ph: (248) 557-7788 | Dr Delorean Q Griffin, MD 4160 John R, 400, Detroit, MI 48202-2819 Ph: (313) 745-7514 |
Aamir Siddiqui, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 Phone: 313-916-2436 | |
Jamie Marie Dilauro Hall, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Kenneth J. Moquin, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 Phone: 313-916-2436 | |
Guillermina Nava, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4160 John R St, Suite 615, Detroit, MI 48201 Phone: 313-745-4195 Fax: 313-993-8669 | |
Dr. Faisal M Almufarrej, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 3901 Beaubien St, Detroit, MI 48201 Phone: 313-745-0247 Fax: 313-993-8783 | |
Donna G. Tepper, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 Phone: 313-916-9106 Fax: 313-916-1249 | |
Herman P. Houin, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 Phone: 313-916-2436 |