| Dr Lisa B Speck, MD | |
|
32905 W 12 Mile Rd, Ste 400, Farmington Hills, MI 48334-3342 | |
| (248) 553-0335 | |
| (248) 553-8945 |
| Full Name | Dr Lisa B Speck |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 32905 W 12 Mile Rd, Farmington Hills, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528059540 | NPI | - | NPPES |
| 1656809 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301039813 (Michigan) | Primary |
| Entity Name | Michigan Healthcare Professionals Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295023547 PECOS PAC ID: 0345413258 Enrollment ID: O20111109000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa B Speck, MD 32905 W 12 Mile Rd, Ste 400, Farmington Hills, MI 48334-3342 Ph: (248) 553-0335 | Dr Lisa B Speck, MD 32905 W 12 Mile Rd, Ste 400, Farmington Hills, MI 48334-3342 Ph: (248) 553-0335 |
Kali Gray, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 248-417-8000 | |
Dr. Jyothsna Yalavarthi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 734-464-0887 Fax: 734-402-0254 | |
Dr. Roberto Mauro Gamarra, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 30055 Northwestern Hwy, Suite 250, Farmington Hills, MI 48334 Phone: 248-985-5000 Fax: 248-985-5500 | |
Dr. Jared Grodman, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 23133 Orchard Lake Rd Ste 200, Farmington Hills, MI 48336 Phone: 248-579-9220 | |
Larry A Wickless, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 28080 Grand River Ave, Suite 306, Farmington Hills, MI 48336 Phone: 248-471-8982 Fax: 248-426-7350 | |
Alabbas Alaamili, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 947-521-8000 | |
Zachary Raad, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 947-521-8000 |