| Dr Ivi Latifi, DO | |
|
1000 Harrington St, Mount Clemens, MI 48043-2920 | |
| (586) 493-8000 | |
| Not Available |
| Full Name | Dr Ivi Latifi |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 1000 Harrington St, Mount Clemens, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639737703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 34.016806 (Ohio) | Secondary |
| 207L00000X | Anesthesiology | 5101027197 (Michigan) | Primary |
| Entity Name | Lakeside Anesthesia Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073534947 PECOS PAC ID: 7517861628 Enrollment ID: O20031120000879 |
| Entity Name | Anesthesia Associates Of Ann Arbor Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669581997 PECOS PAC ID: 1355317223 Enrollment ID: O20040902000916 |
| Entity Name | Northstar Anesthesia Of Michigan Iii Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972126209 PECOS PAC ID: 7911325469 Enrollment ID: O20200915001990 |
| Entity Name | Mymichigan Medical Center Midland |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649010455 PECOS PAC ID: 2264323633 Enrollment ID: O20240716002337 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ivi Latifi, DO 3000 Arlington Ave, Toledo, OH 43614-2598 Ph: (419) 383-4000 | Dr Ivi Latifi, DO 1000 Harrington St, Mount Clemens, MI 48043-2920 Ph: (586) 493-8000 |
Dr. Gary Anthony Langowski, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 810-493-8000 | |
Dr. Willard S Stenz, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000 | |
Dr. May Eileen Bue-niederhauser, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 810-493-8000 | |
Dr. Steven Douglas Grejda, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 810-493-8000 | |
James Michael Jordan, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 810-493-8000 |