| Jennifer Sue Nimtz, DO | |
|
17900 23 Mile Rd Ste 101, Macomb, MI 48044-1161 | |
| (586) 868-9010 | |
| Not Available |
| Full Name | Jennifer Sue Nimtz |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 17900 23 Mile Rd Ste 101, Macomb, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578917381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 5101022645 (Michigan) | Primary |
| Entity Name | Ascension St John Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409 |
| Entity Name | Ascension River District Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265486245 PECOS PAC ID: 0446153407 Enrollment ID: O20040203000465 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Sue Nimtz, DO 17900 23 Mile Rd Ste 101, Macomb, MI 48044-1161 Ph: (586) 868-9010 | Jennifer Sue Nimtz, DO 17900 23 Mile Rd Ste 101, Macomb, MI 48044-1161 Ph: (586) 868-9010 |
Dr. Yasser Mohamed Hassane, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 21840 23 Mile Rd, Macomb, MI 48042 Phone: 586-840-4916 Fax: 586-591-5929 | |
Lyric L Green, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 46591 Romeo Plank Rd, Suite 205, Macomb, MI 48044 Phone: 586-226-6250 Fax: 586-226-6255 | |
Dr. David Robert Mandy, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 46600 Romeo Plank Rd, Suite 4, Macomb, MI 48044 Phone: 586-228-5437 Fax: 586-228-7520 | |
Renee Lindahl Catrambone, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 46591 Romeo Plank Rd Ste 205, Macomb, MI 48044 Phone: 586-226-6250 Fax: 586-226-6255 | |
Talat Danish, MD MPH Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 46591 Romeo Plank, Suite 131, Macomb, MI 48044 Phone: 586-226-6000 Fax: 000-000-0000 | |
Eva Cristescu, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 46591 Romeo Plank Rd, Suite 205, Macomb, MI 48044 Phone: 586-226-6250 Fax: 586-226-6255 |