| Dr Marla Nicole Jahnke, MD | |
|
27776 Woodward Ave, Royal Oak, MI 48067-0930 | |
| (313) 451-0090 | |
| (507) 736-7642 |
| Full Name | Dr Marla Nicole Jahnke |
|---|---|
| Gender | Female |
| Speciality | Dermatology - Pediatric Dermatology |
| Location | 27776 Woodward Ave, Royal Oak, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518195981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 4301096431 (Michigan) | Secondary |
| 207NP0225X | Dermatology - Pediatric Dermatology | 4301096431 (Michigan) | Primary |
| Entity Name | Henry Ford Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730252339 PECOS PAC ID: 0547178311 Enrollment ID: O20031111000124 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marla Nicole Jahnke, MD 27776 Woodward Ave, Royal Oak, MI 48067-0930 Ph: (313) 451-0090 | Dr Marla Nicole Jahnke, MD 27776 Woodward Ave, Royal Oak, MI 48067-0930 Ph: (313) 451-0090 |
Dr. Bryan Daniel Sofen, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 27776 Woodward Ave, Royal Oak, MI 48067 Phone: 248-355-5047 Fax: 248-355-3511 | |
Dr. Janet Lynn Koprince, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 713 N Main St, Royal Oak, MI 48067 Phone: 248-548-7707 Fax: 248-548-7736 | |
Dr. Joanna Gammons, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 713 N Main St, Royal Oak, MI 48067 Phone: 248-548-7707 Fax: 248-548-7736 | |
Dominique Loggins, ESTHETICIAN Dermatology Medicare: Not Enrolled in Medicare Practice Location: 486 N Main St Ste 35, Royal Oak, MI 48067 Phone: 248-733-3588 | |
Maureen T Cliffel, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 26454 Woodward Ave, Ste 200, Royal Oak, MI 48067 Phone: 248-965-2919 Fax: 248-965-2905 | |
Dr. O'neal Wilson Koger Jr., M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 30301 Woodward Ave, 120, Royal Oak, MI 48302 Phone: 248-435-6622 Fax: 248-435-7453 |