| Daniel Dillingham, | |
|
2601 Electric Ave, Port Huron, MI 48060-6587 | |
| (810) 985-1580 | |
| Not Available |
| Full Name | Daniel Dillingham |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2601 Electric Ave, Port Huron, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639146194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601002794 (Michigan) | Primary |
| Entity Name | Mclaren Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346396066 PECOS PAC ID: 3971416082 Enrollment ID: O20031106000025 |
| Entity Name | Degara App PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265976971 PECOS PAC ID: 7618251398 Enrollment ID: O20170223001941 |
| Entity Name | Henry Ford Urgent Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184389876 PECOS PAC ID: 6901296110 Enrollment ID: O20211202000908 |
| Entity Name | Mclaren Hospital Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942026174 PECOS PAC ID: 2365968351 Enrollment ID: O20250502001568 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Dillingham, 18275 Pratt Rd, Armada, MI 48005-1153 Ph: (586) 784-8207 | Daniel Dillingham, 2601 Electric Ave, Port Huron, MI 48060-6587 Ph: (810) 985-1580 |
Ms. Salwa Wadud Choudhury, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1201 Stone St, Suite #3, Port Huron, MI 48060 Phone: 810-985-5000 Fax: 810-985-3700 |
Jacklyn Burkey, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1209 10th St, Port Huron, MI 48060 Phone: 810-985-8170 |
Shaun Baker, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2425 Military St Rm 2, Port Huron, MI 48060 Phone: 810-984-5700 Fax: 810-984-1886 |
Ashley Lauren Wilson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 940 River Centre Dr, Port Huron, MI 48060 Phone: 810-985-4900 Fax: 810-985-3634 |
Nicholas M Branch, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1231 Pine Grove Ave Ste 1a, Port Huron, MI 48060 Phone: 810-985-4300 Fax: 810-985-9320 |
Scott Michael Dedoe, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1221 Pine Grove Ave, Emergency Medicine Department, Port Huron, MI 48060 Phone: 810-989-3300 Fax: 810-985-2671 |
Riley Robinson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1221 Pine Grove Ave, Port Huron, MI 48060 Phone: 810-987-5000 Fax: 810-985-2671 |