| Heather M Gulish, MSN, CUNP | |
|
20952 E 12 Mile Rd, Suite 200, St Clair Shores, MI 48081-3200 | |
| (586) 771-4820 | |
| (586) 771-6620 |
| Full Name | Heather M Gulish |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 20952 E 12 Mile Rd, St 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 |
|---|---|---|---|
| 1679538318 | NPI | - | NPPES |
| 500013142 | Other | MI | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 4704180714 (Michigan) | Primary |
| Entity Name | Michigan Institute Of Urology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194807693 PECOS PAC ID: 1052223492 Enrollment ID: O20050329001170 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather M Gulish, MSN, CUNP 20952 E 12 Mile Rd, Suite 200, St Clair Shores, MI 48081-3200 Ph: (586) 771-4820 | Heather M Gulish, MSN, CUNP 20952 E 12 Mile Rd, Suite 200, St Clair Shores, MI 48081-3200 Ph: (586) 771-4820 |
Carol Lynn Chodun, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24211 Little Mack Avenue, Eastlake Cardiovascular, St Clair Shores, MI 48080 Phone: 586-498-0440 Fax: 586-498-0401 | |
Jennifer L Kozak, NPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 28963 Little Mack, Ste 101, St Clair Shores, MI 48081 Phone: 586-447-0700 Fax: 586-498-0707 | |
Barbara Lawson, RN MSN NPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 28963 Little Mack Ave, Ste 101, St Clair Shores, MI 48081 Phone: 586-447-0700 Fax: 586-498-0707 |