| Richard David Entz, MD | |
| 
					1105 Sixth St, Traverse City, MI 49684-2345  | |
| (231) 935-6370 | |
| (231) 935-6451 | 
| Full Name | Richard David Entz | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine | 
| Location | 1105 Sixth St, Traverse City, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1407854185 | NPI | - | NPPES | 
| 4154050 | Medicaid | MI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301049721 (Michigan) | Primary | 
| Entity Name | Munson Medical Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1083761860 PECOS PAC ID: 3072426287 Enrollment ID: O20040108000904  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Richard David Entz, MD 1105 Sixth St, Traverse City, MI 49684-2345 Ph: (231) 935-6370  | Richard David Entz, MD 1105 Sixth St, Traverse City, MI 49684-2345 Ph: (231) 935-6370  | 
John P Milliken, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 224 Circle Dr, Traverse City, MI 49684 Phone: 231-935-0525 Fax: 231-935-0529  | |
Dr. David R Hendricks, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 153 1/2 E Front St, Traverse City, MI 49684 Phone: 231-941-6670 Fax: 231-941-6675  | |
Dr. Jill Elizabeth Vollbrecht, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5015 N Royal Dr, Traverse City, MI 49684 Phone: 231-935-0850 Fax: 231-935-0850  | |
Dr. Katrina Marie Lawrence-wolff, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 3537 W Front St Ste A, Traverse City, MI 49684 Phone: 231-935-8330 Fax: 231-935-3437  | |
Steven M. Lamie, M. D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3537 W Front St, Suite I, Traverse City, MI 49684 Phone: 231-935-8950 Fax: 231-935-8868  | |
Anne M Hepner, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 Sixth St, Suite 200, Traverse City, MI 49684 Phone: 231-935-5800 Fax: 231-935-5799  | |
Mark V Galan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4100 Park Forest Dr, Suite 208, Traverse City, MI 49684 Phone: 231-935-5710 Fax: 231-935-9045  |