| Wontika R Smith, MD | |
|
19714 E 10 Mile Rd, Saint Clair Shores, MI 48080-1064 | |
| (586) 779-9400 | |
| (586) 772-1440 |
| Full Name | Wontika R Smith |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 19714 E 10 Mile Rd, Saint Clair Shores, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427125897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 4301076065 (Michigan) | Primary |
| Entity Name | St Clair Shores Obstetrics And Gynecolgy, Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164535886 PECOS PAC ID: 9638146251 Enrollment ID: O20040914000287 |
| Mailing Address | Practice Location Address |
|---|---|
| Wontika R Smith, MD 19714 E 10 Mile Rd, Saint Clair Shores, MI 48080-1064 Ph: (586) 779-9400 | Wontika R Smith, MD 19714 E 10 Mile Rd, Saint Clair Shores, MI 48080-1064 Ph: (586) 779-9400 |
Dr. Suzanne M Millican, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 19714 E 10 Mile Rd, Saint Clair Shores, MI 48080 Phone: 586-779-9400 | |
Dr. Andrea Maria Abessinio, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 22811 Greater Mack Ave, Suite 106, Saint Clair Shores, MI 48080 Phone: 586-772-6822 Fax: 586-772-6632 | |
Regina Frost, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 22050 Mack Ave, Saint Clair Shores, MI 48080 Phone: 586-777-2550 Fax: 586-777-2447 | |
Dr. Joyce Catherine Purakal, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 21000 E 12 Mile Rd Ste 102, Saint Clair Shores, MI 48081 Phone: 586-447-5100 Fax: 586-447-5090 | |
Kelly Marie Larimore, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 21400 E 11 Mile Rd, Saint Clair Shores, MI 48081 Phone: 586-498-4400 | |
Thomas R Hartzell, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 21000 E 12 Mile Rd, Ste 102, Saint Clair Shores, MI 48081 Phone: 800-848-0202 Fax: 586-226-6949 |