Michael James Visconti, DO | |
361 N Canton Center Rd, Canton, MI 48187-5096 | |
(734) 495-1506 | |
(734) 495-1780 |
Full Name | Michael James Visconti |
---|---|
Gender | Male |
Speciality | Dermatology |
Location | 361 N Canton Center Rd, Canton, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235767856 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 5101027977 (Michigan) | Primary |
Entity Name | Midwest Center For Dermatology & Pathology Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003095084 PECOS PAC ID: 0446330492 Enrollment ID: O20080103000679 |
Entity Name | Dermatology Specialists Of Canton Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003069014 PECOS PAC ID: 6507923976 Enrollment ID: O20090330000584 |
Entity Name | Dermatology & Phototherapy Center Of Brighton Plc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659624591 PECOS PAC ID: 7618114695 Enrollment ID: O20130510000391 |
Entity Name | Berry Dermatology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326386517 PECOS PAC ID: 2466693387 Enrollment ID: O20130718000458 |
Mailing Address | Practice Location Address |
---|---|
Michael James Visconti, DO 361 N Canton Center Rd, Canton, MI 48187-5096 Ph: (734) 495-1506 | Michael James Visconti, DO 361 N Canton Center Rd, Canton, MI 48187-5096 Ph: (734) 495-1506 |
Dr. Thomas Powell Waldinger, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 285 N Lilley Rd, Canton, MI 48187 Phone: 734-495-1506 Fax: 734-829-2589 | |
Dilara Turk, MD Dermatology Medicare: Medicare Enrolled Practice Location: 361 N Canton Center Rd, Canton, MI 48187 Phone: 734-495-1506 Fax: 734-495-1780 | |
Dr. Ann Ammond Lafond, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8584 N Canton Center Rd, Canton, MI 48187 Phone: 734-455-4917 | |
Kimberly Simons, PA Dermatology Medicare: Medicare Enrolled Practice Location: 285 N Lilley Rd, Canton, MI 48187 Phone: 734-495-1506 Fax: 734-495-1780 | |
Mrs. Sara Elizabeth Hayes, PA-C Dermatology Medicare: Medicare Enrolled Practice Location: 285 N Lilley Rd, Canton, MI 48187 Phone: 734-495-1506 Fax: 734-495-1780 | |
Dr. Ali A Berry, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 361 N Canton Center Rd, Canton, MI 48187 Phone: 734-495-1506 Fax: 734-495-1780 |