| Michael B Fairbanks, MD | |
|
205 S Bradley Hwy, Rogers City, MI 49779-2137 | |
| (989) 734-2052 | |
| (989) 734-7390 |
| Full Name | Michael B Fairbanks |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 205 S Bradley Hwy, Rogers City, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447206776 | NPI | - | NPPES |
| 4134559 | Medicaid | MI | |
| 4888306 | Medicaid | MI | |
| 4134577 | Medicaid | MI | |
| 0F060160 | Other | MI | MEDICARE BILL PAY TO |
| 4134568 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MF051895 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Michael B Fairbanks, MD Po Box 427, Hillman, MI 49746-0427 Ph: (989) 742-4583 | Michael B Fairbanks, MD 205 S Bradley Hwy, Rogers City, MI 49779-2137 Ph: (989) 734-2052 |
Angela S Mowery, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 205 S Bradley Hwy, Rogers City, MI 49779 Phone: 989-734-2052 Fax: 989-734-7390 | |
Marion C Hautea, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 S Bradley Hwy, Rogers City, MI 49779 Phone: 989-734-2052 Fax: 989-734-7390 |