| Dr Philip Daniel Vanderkooy, DO | |
| 416 Connable Ave, Petoskey, MI 49770-2212 | |
| (800) 248-6777 | |
| Not Available | 
| Full Name | Dr Philip Daniel Vanderkooy | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine | 
| Location | 416 Connable Ave, Petoskey, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1457988628 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 5101027598 (Michigan) | Primary | 
| Entity Name | Mclaren Northern Michigan | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1760736094 PECOS PAC ID: 9931018181 Enrollment ID: O20040415001193 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Philip Daniel Vanderkooy, DO 416 Connable Ave, Petoskey, MI 49770-2212 Ph: (800) 248-6777 | Dr Philip Daniel Vanderkooy, DO 416 Connable Ave, Petoskey, MI 49770-2212 Ph: (800) 248-6777 | 
| Gary H Shaw, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 416 Connable Ave, Petoskey, MI 49770 Phone: 231-487-7303 Fax: 231-487-7313 | |
| Dr. Janean Haggins-dabney, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 416 Connable Ave, Petoskey, MI 49770 Phone: 231-922-9270 Fax: 231-922-9271 | |
| Dr. Vira C Heise, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 560 W Mitchell St, Suite 300, Petoskey, MI 49770 Phone: 231-487-2460 Fax: 231-487-6596 | |
| John L Diedrich, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 560 W Mitchell St, Petoskey, MI 49770 Phone: 231-487-2460 Fax: 231-487-6596 | |
| Dr. Peter E. Levanovich, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 560 W Mitchell St, Suite 400, Petoskey, MI 49770 Phone: 231-487-2490 Fax: 231-487-6055 | |
| Dr. Kim Aikens, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 7336 Preserve Ct, Petoskey, MI 49770 Phone: 231-347-5265 | |
| Dr. Mark Alan Richmond, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2810 Charlevoix Ave, Petoskey, MI 49770 Phone: 231-881-9054 Fax: 231-881-9052 |