| Dima Sprague, | |
|
28800 Ryan Rd, Warren, MI 48092-4272 | |
| (586) 577-9444 | |
| Not Available |
| Full Name | Dima Sprague |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Surgical |
| Location | 28800 Ryan Rd, Warren, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275872376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601006517 (Michigan) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 5601006517 (Michigan) | Primary |
| Entity Name | Spine Specialists of Michigan PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891822565 PECOS PAC ID: 8820192776 Enrollment ID: O20070402000538 |
| Mailing Address | Practice Location Address |
|---|---|
| Dima Sprague, 6924 Appoline St, Upper Level, Dearborn, MI 48126-1989 Ph: Not Available | Dima Sprague, 28800 Ryan Rd, Warren, MI 48092-4272 Ph: (586) 577-9444 |
Kerry Nathan, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 31150 Hoover, Suite B, Warren, MI 48093 Phone: 586-983-3666 Fax: 586-983-3776 |
Abdulilah Obeid, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5000 |
Laura Saylor, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 26000 Hoover Rd, Warren, MI 48089 Phone: 586-722-0707 |
Irtiah Khan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 31150 Hoover Rd Ste B, Warren, MI 48093 Phone: 586-983-3666 |
Christopher P Czata, P.A.-C. Physician Assistant Medicare: Medicare Enrolled Practice Location: 27560 Hoover, Warren, MI 48093 Phone: 586-757-6400 Fax: 586-757-8400 |
Susan Wosik, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11900 E 12 Mile Rd Ste 100, Warren, MI 48093 Phone: 248-662-4110 Fax: 248-662-4120 |
Ms. Lucille M. Turner, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 13355 East Ten Mile Road, Warren, MI 48089 Phone: 586-759-7958 Fax: 586-759-7989 |