| Kenneth R Lock, DO | |
|
13355 E 10 Mile Rd, Warren, MI 48089-2048 | |
| (586) 759-7963 | |
| (586) 759-7793 |
| Full Name | Kenneth R Lock |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 13355 E 10 Mile Rd, Warren, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558385435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 5101012056 (Michigan) | Primary |
| Entity Name | Straith Hospital For Special Surgery |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548268436 PECOS PAC ID: 1153210067 Enrollment ID: O20040310001337 |
| Entity Name | Ambulatory Anesthesia Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952350555 PECOS PAC ID: 5092729020 Enrollment ID: O20060130000526 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth R Lock, DO 13355 E 10 Mile Rd, Warren, MI 48089-2048 Ph: (586) 759-7963 | Kenneth R Lock, DO 13355 E 10 Mile Rd, Warren, MI 48089-2048 Ph: (586) 759-7963 |
Kathy Schlecht, DO Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 28120 Dequindre Rd, Warren, MI 48092 Phone: 586-573-0709 | |
Samuel D Manalo, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5260 | |
Horacio G Lardo, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5260 | |
Charles F Mckolay, D.O. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 11800 E 12 Mile Rd, Anesthesia Department, Warren, MI 48093 Phone: 586-573-5260 | |
Jason Zatkoff, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11012 E 13 Mile Rd Ste 112a, Warren, MI 48093 Phone: 586-751-9800 | |
Philip J Zink, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5260 | |
Dr. Kondraganti P Rao, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 28111 Hoover, Warren, MI 48093 Phone: 586-573-0589 Fax: 586-573-3861 |