| Dr Lisa Rene Gnas, DO | |
|
5820 N Canton Center Rd Ste 181, Canton, MI 48187-2651 | |
| (877) 882-4800 | |
| Not Available |
| Full Name | Dr Lisa Rene Gnas |
|---|---|
| Gender | Female |
| Speciality | General Practice |
| Location | 5820 N Canton Center Rd Ste 181, Canton, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437318243 | NPI | - | NPPES |
| 5101013946 | Other | MI | MICHIGAN LICENSING AND REGULATORY AFFAIRS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 5101013946 (Michigan) | Secondary |
| 208D00000X | General Practice | 5101013946 (Michigan) | Primary |
| Entity Name | Vps Of Mi Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164873691 PECOS PAC ID: 1052603297 Enrollment ID: O20160708001747 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa Rene Gnas, DO 5820 N Canton Center Rd Ste 181, Canton, MI 48187-2651 Ph: (877) 882-4800 | Dr Lisa Rene Gnas, DO 5820 N Canton Center Rd Ste 181, Canton, MI 48187-2651 Ph: (877) 882-4800 |
Dr. Piyush J Shah, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 7283 Kingsbridge Court, Canton, MI 48187 Phone: 734-459-0716 Fax: 734-459-0716 | |
Katherine Burke, MD General Practice Medicare: Medicare Enrolled Practice Location: 39823 Cheviot Rd, Canton, MI 48188 Phone: 330-205-7091 |