| Dr Mitzi Colleen Amelon, DO | |
|
135 E M35, Gwinn, MI 49841-9160 | |
| (906) 346-9275 | |
| (906) 372-3230 |
| Full Name | Dr Mitzi Colleen Amelon |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 135 E M35, Gwinn, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831140409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101010674 (Michigan) | Primary |
| Entity Name | State Of Michigan Office Of Financial Management |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508883299 PECOS PAC ID: 5496650723 Enrollment ID: O20040114000603 |
| Entity Name | Upper Great Lakes Family Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700103777 PECOS PAC ID: 1951432384 Enrollment ID: O20100629000853 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mitzi Colleen Amelon, DO 301 Explorer St, Gwinn, MI 49841-2813 Ph: (906) 481-8586 | Dr Mitzi Colleen Amelon, DO 135 E M35, Gwinn, MI 49841-9160 Ph: (906) 346-9275 |
Catherine A Kroll, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 135 E. M-35, Gwinn, MI 49841 Phone: 906-346-9275 | |
Kimberley Ann Suhanic, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 301 Explorer St, Gwinn, MI 49841 Phone: 906-346-4924 | |
Lynn M Barry, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Explorer St, Gwinn, MI 49841 Phone: 190-634-6492 Fax: 906-346-6474 | |
Leah Abbott, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 135 E M35, Gwinn, MI 49841 Phone: 906-346-9275 Fax: 906-346-5616 |