| Dr Matthew M Supron, DO | |
|
580 W College Ave, Marquette, MI 49855-2705 | |
| (906) 226-2569 | |
| (906) 226-3225 |
| Full Name | Dr Matthew M Supron |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 580 W College Ave, Marquette, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306847470 | NPI | - | NPPES |
| 3268530 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | MS013277 (Michigan) | Primary |
| Entity Name | Spectrum Healthcare Partners, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245252212 PECOS PAC ID: 7618871245 Enrollment ID: O20040915000845 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew M Supron, DO 710 Chippewa Sq, Suite 103, Marquette, MI 49855-4821 Ph: (906) 226-2569 | Dr Matthew M Supron, DO 580 W College Ave, Marquette, MI 49855-2705 Ph: (906) 226-2569 |
Dr. Prakash R Dhadphale, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-226-2569 Fax: 906-226-3225 | |
Dr. Donna J Boyd, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-226-2569 Fax: 906-226-3225 | |
Amanda Rose Moraska Benson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 850 W Baraga Ave, Marquette, MI 49855 Phone: 906-449-3000 | |
Dr. Mark A Washnock, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-226-2569 Fax: 906-226-3225 | |
Dr. Greg J Ghiardi, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-226-2569 Fax: 906-226-3225 | |
Dr. Mackenzie A Kuhl, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 580 W College Ave, Marquette, MI 49855 Phone: 906-225-3595 |