| Dr Michele Leslie Bautista, MD | |
|
212 S Sullivan Ave Ste B, Fremont, MI 49412-1548 | |
| (231) 924-1212 | |
| Not Available |
| Full Name | Dr Michele Leslie Bautista |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 212 S Sullivan Ave Ste B, Fremont, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689298333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 4301512246 (Michigan) | Primary |
| Entity Name | Newaygo County General Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750404927 PECOS PAC ID: 4880503051 Enrollment ID: O20040423001232 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michele Leslie Bautista, MD 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: () - | Dr Michele Leslie Bautista, MD 212 S Sullivan Ave Ste B, Fremont, MI 49412-1548 Ph: (231) 924-1212 |
Jehanna Shaelah Erho, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 212 S Sullivan Ave, Fremont, MI 49412 Phone: 231-924-1212 | |
Lindsay Ann Schmiedeknecht, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 212 S Sullivan Ave, Fremont, MI 49412 Phone: 231-924-1212 | |
Dr. Nancy L Herta, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 212 S Sullivan Ave, Fremont, MI 49412 Phone: 231-924-3300 | |
Arie J. Vanderweide, D.O. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 230 W Oak St, Suite 201, Fremont, MI 49412 Phone: 231-924-4200 Fax: 231-924-2001 |