| Susan T Dombroski, MD | |
|
Henry Ford Health System, 14500 Hall Road, Sterling Heights, MI 48313 | |
| (586) 247-2940 | |
| (586) 247-3733 |
| Full Name | Susan T Dombroski |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | Henry Ford Health System, Sterling Heights, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356419899 | NPI | - | NPPES |
| SD056654 | Other | COMMERCIAL-COMMERCIAL NUMBER | |
| SD056654 | Other | CHAMPUS-CHAMPUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 4301056654 (Michigan) | Primary |
| Entity Name | Henry Ford Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan T Dombroski, MD Henry Ford Health System, 14500 Hall Road, Sterling Heights, MI 48313 Ph: (586) 247-2940 | Susan T Dombroski, MD Henry Ford Health System, 14500 Hall Road, Sterling Heights, MI 48313 Ph: (586) 247-2940 |
Dr. Rebecca K Wegner, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 42141 Mound Rd, Ste B, Sterling Heights, MI 48314 Phone: 586-254-7593 Fax: 586-254-7834 | |
Ismael Enrique Gonzalez Rangel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 43200 Dequindre Rd Ste 105, Sterling Heights, MI 48314 Phone: 248-780-9490 | |
Mary Burton, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3500 15 Mile Rd, Sterling Heights, MI 48310 Phone: 586-977-6356 | |
Dr. Sharon K Geimer, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 44344 Dequindre Rd, Suite 480, Sterling Heights, MI 48314 Phone: 586-323-8935 Fax: 586-323-9058 | |
Nirali Mody, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 42141 Mound Rd # B, Sterling Heights, MI 48314 Phone: 586-254-7593 Fax: 586-254-7834 | |
Dr. Paul Luke Gogue, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 39242 Dequindre Rd, Suite 101, Sterling Heights, MI 48310 Phone: 586-446-8060 | |
Dr. Leonard B. Pollack, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: Henry Ford Health System, 3500 Fifteen Mile Road, Sterling Heights, MI 48310 Phone: 586-977-9936 Fax: 586-977-6498 |