| Sanford J Vieder, DO | |
|
28050 Grand River Avenue, Er Department, Farmington Hills, MI 48336 | |
| (248) 471-8808 | |
| (248) 615-7415 |
| Full Name | Sanford J Vieder |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 28050 Grand River Avenue, Farmington Hills, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952335028 | NPI | - | NPPES |
| 114575660 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | SV010234 (Michigan) | Secondary |
| 207P00000X | Emergency Medicine | 5101010234 (Michigan) | Primary |
| Entity Name | Farmington Emergency Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568496370 PECOS PAC ID: 6305732140 Enrollment ID: O20040302000665 |
| Entity Name | Lakes Urgent Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699786624 PECOS PAC ID: 1052390127 Enrollment ID: O20040714000662 |
| Entity Name | Rpm Care Coordination Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043882392 PECOS PAC ID: 6002205606 Enrollment ID: O20221007001315 |
| Mailing Address | Practice Location Address |
|---|---|
| Sanford J Vieder, DO 6530 Bristol Dr, West Bloomfield, MI 48322-3240 Ph: (248) 931-2274 | Sanford J Vieder, DO 28050 Grand River Avenue, Er Department, Farmington Hills, MI 48336 Ph: (248) 471-8808 |
Christine Carline, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 947-521-8000 | |
Diane L Kaiser, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 28050 Grand River Avenue, Farmington Hills, MI 48336 Phone: 248-471-8000 | |
Richard W Traicoff, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 28050 Grand River Avenue, Er Department, Farmington Hills, MI 48336 Phone: 248-471-8000 | |
Iven Thair Ayyar, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 947-521-8822 | |
Dr. Paul Marvin Pustinger, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 248-471-8000 | |
Dr. Shradha Shah, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 28050 Grand River Ave, Botsford Hospital Emergency Department, Farmington Hills, MI 48336 Phone: 248-471-8808 | |
Dr. Kirsten Young, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 248-471-8000 |