| Dr Ryan Soheim, MD | |
| 16815 E Jefferson Ave Ste 240, Grosse Pointe, MI 48230-1923 | |
| (313) 473-4690 | |
| Not Available | 
| Full Name | Dr Ryan Soheim | 
|---|---|
| Gender | Male | 
| Speciality | Surgery | 
| Location | 16815 E Jefferson Ave Ste 240, Grosse Pointe, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1982265955 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208600000X | Surgery | 72990 (Arizona) | Secondary | 
| 208600000X | Surgery | 4301515121 (Michigan) | Primary | 
| Entity Name | Banner Physician Specialists Arizona Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1316228802 PECOS PAC ID: 6204002272 Enrollment ID: O20111222000509 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Ryan Soheim, MD 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: () - | Dr Ryan Soheim, MD 16815 E Jefferson Ave Ste 240, Grosse Pointe, MI 48230-1923 Ph: (313) 473-4690 | 
| Dr. Dharti Sheth, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 468 Cadieux Rd Fl 2, Grosse Pointe, MI 48230 Phone: 313-473-6900 Fax: 586-771-8901 | |
| Dr. Steven D Rimar, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 16815 E Jefferson Ave Ste 240, Grosse Pointe, MI 48230 Phone: 313-473-4690 | |
| Mr. Norman Alexander Bolz, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 19229 Mack Ave, Suite 34, Grosse Pointe, MI 48236 Phone: 313-343-0209 Fax: 313-343-0427 | |
| Michael C. Coello, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 16815 E Jefferson Ave Ste 240, Grosse Pointe, MI 48230 Phone: 313-473-4690 | |
| Dr. Krikor Garo Arman Ii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 17000 Kercheval Ave Ste 205, Grosse Pointe, MI 48230 Phone: 313-640-2424 | |
| Charles J Shanley, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 16815 E Jefferson Ave Ste 240, Grosse Pointe, MI 48230 Phone: 313-473-4690 Fax: 248-551-3023 | |
| Dr. Megan Hutchins D'john, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 16815 E Jefferson Ave Ste 240, Grosse Pointe, MI 48230 Phone: 313-473-4690 |