| Dr Derrek Wayne Humphries, MD | |
|
4000 Wellness Dr, Midland, MI 48670-5303 | |
| (989) 839-1644 | |
| Not Available |
| Full Name | Dr Derrek Wayne Humphries |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 4000 Wellness Dr, Midland, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518535475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301511239 (Michigan) | Primary |
| Entity Name | Mymichigan Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740230127 PECOS PAC ID: 4981501939 Enrollment ID: O20040126000905 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Derrek Wayne Humphries, MD 4000 Wellness Dr, Midland, MI 48670-0001 Ph: () - | Dr Derrek Wayne Humphries, MD 4000 Wellness Dr, Midland, MI 48670-5303 Ph: (989) 839-1644 |
Stephen J Mattichak, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2660 W Sugnet Rd, Midland, MI 48640 Phone: 989-832-0900 Fax: 989-633-0349 | |
Waleed H Doghmi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 W Wackerly St, Midland, MI 48640 Phone: 989-832-0900 Fax: 989-633-0349 | |
Dr. Subramanyam Yadam, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4201 Campus Ridge Drive, Midland, MI 48640 Phone: 989-488-5450 Fax: 989-488-5455 | |
John Blamoun, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4201 Campus Ridge Drive, Midland, MI 48640 Phone: 989-488-5450 Fax: 989-488-5455 | |
Andrzej S. Boguszewski, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 W Wackerly St, Midland, MI 48640 Phone: 989-832-0900 | |
Sharon Agnes Levandowski, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4201 Campus Ridge Dr, Midland, MI 48640 Phone: 989-839-6188 Fax: 989-839-6221 | |
Dr. Santiago Fabian Moscoso Martinez, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4201 Campus Ridge Dr, Midland, MI 48640 Phone: 989-839-6188 Fax: 989-839-6221 |