| Kylene Willsey, MD | |
|
7444 Dexter Ann Arbor Rd Ste A, Dexter, MI 48130-1468 | |
| (734) 408-4182 | |
| (734) 253-2565 |
| Full Name | Kylene Willsey |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 7444 Dexter Ann Arbor Rd Ste A, Dexter, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336553239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 4301105815 (Michigan) | Primary |
| Entity Name | Dell Childrens Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326072943 PECOS PAC ID: 8224092978 Enrollment ID: O20041112001030 |
| Mailing Address | Practice Location Address |
|---|---|
| Kylene Willsey, MD 7444 Dexter Ann Arbor Rd Ste A, Dexter, MI 48130-1468 Ph: (734) 408-4182 | Kylene Willsey, MD 7444 Dexter Ann Arbor Rd Ste A, Dexter, MI 48130-1468 Ph: (734) 408-4182 |
Dr. Paul William Turke, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7444 Dexter Ann Arbor Rd Ste A, Dexter, MI 48130 Phone: 734-408-4182 |
William Rasmussen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7425 Ann Arbor St, Dexter, MI 48130 Phone: 616-648-6425 |
Allison Virginia Surma, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7444 Dexter Ann Arbor Rd, Dexter, MI 48130 Phone: 734-408-4182 |