| Guillermo Rafael Ethier, DNP | |
|
3230 Garden Ave, Royal Oak, MI 48073-6525 | |
| (810) 240-1102 | |
| Not Available |
| Full Name | Guillermo Rafael Ethier |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 3230 Garden Ave, Royal Oak, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154012433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 4704371357 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Downriver Mental Health Clinic Pc | 7911995139 | 289 |
| Entity Name | Downriver Mental Health Clinic PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295866135 PECOS PAC ID: 7911995139 Enrollment ID: O20040505000533 |
| Entity Name | Michigan Healthcare Professionals PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295023547 PECOS PAC ID: 0345413258 Enrollment ID: O20111109000027 |
| Entity Name | Michigan Healthcare Professionals PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831956986 PECOS PAC ID: 0345413258 Enrollment ID: O20240321002513 |
| Mailing Address | Practice Location Address |
|---|---|
| Guillermo Rafael Ethier, DNP 3230 Garden Ave, Royal Oak, MI 48073-6525 Ph: (810) 240-1102 | Guillermo Rafael Ethier, DNP 3230 Garden Ave, Royal Oak, MI 48073-6525 Ph: (810) 240-1102 |
Kelly L Hope, RN, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 30701 Woodward Ave Ste 200, Royal Oak, MI 48073 Phone: 248-737-4030 Fax: 248-307-7873 |
Maryana H Akrawi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 Fax: 248-898-0580 |
Bria Gwisdalla, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 |
Angelee Marie Vaile, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26454 Woodward Ave Ste 200, Royal Oak, MI 48067 Phone: 248-588-3500 |
Christina Khouri, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3455 Starr Rd, Royal Oak, MI 48073 Phone: 248-288-9340 |
Ann Catherine Paton, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 |
Martina G Mulligan, ACNS-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3601 W 13 Mile Rd, Royal Oak, MI 48073 Phone: 248-898-5000 |