| Gregory Dwight, DO | |
|
36475 Five Mile Rd, Livonia, MI 48154-1971 | |
| (734) 655-2022 | |
| Not Available |
| Full Name | Gregory Dwight |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 36475 Five Mile Rd, Livonia, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720026453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 5101008711 (Michigan) | Primary |
| Entity Name | Anesthesia Associates Of Ann Arbor Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669581997 PECOS PAC ID: 1355317223 Enrollment ID: O20040902000916 |
| Entity Name | Center For Digestive Care Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1164528527 PECOS PAC ID: 4981658374 Enrollment ID: O20050309000185 |
| Entity Name | St Mary Mercy Hospital Crna |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063602092 PECOS PAC ID: 8820163538 Enrollment ID: O20080814000520 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Dwight, DO 37103 Weymouth Dr, Livonia, MI 48152-4095 Ph: () - | Gregory Dwight, DO 36475 Five Mile Rd, Livonia, MI 48154-1971 Ph: (734) 655-2022 |
Jayne Kennedy, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 36475 5 Mile Rd, Livonia, MI 48154 Phone: 734-655-2202 | |
Karen Pardo, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 36475 5 Mile Rd, Livonia, MI 48154 Phone: 734-655-2022 | |
Rudy Anthony Cueto, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 36475 Five Mile Rd, Livonia, MI 48154 Phone: 734-655-4800 | |
Gail Ian, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 36475 5 Mile Rd, Livonia, MI 48154 Phone: 734-655-2022 | |
Wen Jing Chung, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 36475 Five Mile Rd, Livonia, MI 48154 Phone: 734-655-4800 | |
Khalil Dirani, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 36475 5 Mile Rd, Livonia, MI 48154 Phone: 734-655-2022 | |
Cathyann Jackson, CRNA Anesthesiology Medicare: Medicare Enrolled Practice Location: 36475 5 Mile Rd, Livonia, MI 48154 Phone: 734-655-2022 |