| Thomas W Pfennig, DO, FAOCO | |
|
1555 44th St Sw, Wyoming, MI 49509-4395 | |
| (616) 249-8000 | |
| (616) 249-8088 |
| Full Name | Thomas W Pfennig |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 1555 44th St Sw, Wyoming, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508821901 | NPI | - | NPPES |
| 2854990 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 5101009647 (Michigan) | Primary |
| Entity Name | Thomas W Pfennig Do |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063639870 PECOS PAC ID: 2466520473 Enrollment ID: O20081003000541 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas W Pfennig, DO, FAOCO 1555 44th St Sw, Wyoming, MI 49509-4395 Ph: (616) 249-8000 | Thomas W Pfennig, DO, FAOCO 1555 44th St Sw, Wyoming, MI 49509-4395 Ph: (616) 249-8000 |
Claudell Cox, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1555 44th St Sw, Wyoming, MI 49509 Phone: 616-249-8000 Fax: 616-249-8088 | |
Dr. Steven Cox, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1555 44th St Sw, Wyoming, MI 49509 Phone: 901-448-5364 | |
Dr. Devin T Mistry, DO Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1555 44th St Sw, Wyoming, MI 49509 Phone: 616-252-7200 | |
Robert J Meleca, M.D., FACS Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1555 44th St Sw, Wyoming, MI 49509 Phone: 616-249-8000 Fax: 616-249-8088 | |
Dr. Jeanne Eyde, DO Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2215 44th St Sw, Suite 205, Wyoming, MI 49519 Phone: 616-252-8500 | |
Dr. Joseph Charles Taylor, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1555 44th St Sw, Wyoming, MI 49509 Phone: 616-249-8000 Fax: 616-249-8088 |