| Kelly A Bannasch, PA-C | |
|
6071 W Outer Dr, Detroit, MI 48235-2624 | |
| (313) 966-8559 | |
| Not Available |
| Full Name | Kelly A Bannasch |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 6071 W Outer Dr, Detroit, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043330889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 5601002420 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly A Bannasch, PA-C 6071 W Outer Dr, Detroit, MI 48235-2624 Ph: (313) 966-8559 | Kelly A Bannasch, PA-C 6071 W Outer Dr, Detroit, MI 48235-2624 Ph: (313) 966-8559 |
Ms. Lilia Popadiuk, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6071 W Outer Dr, Detroit, MI 48235 Phone: 313-993-0200 | |
Mrs. Rachelle Noel Wright, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Sybrena Evans, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3901 Beaubien St, Detroit, MI 48201 Phone: 313-833-4490 | |
Mrs. Kimberly Louise Powell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6071 W Outer Dr, Detroit, MI 48235 Phone: 313-966-6870 | |
Tiffany Drane, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-343-4000 | |
Basma J Alobahi, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6100 Dorothy St, Detroit, MI 48211 Phone: 313-921-5881 | |
Amy G. Connolly, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 20400 W Warren Ave, Detroit, MI 48228 Phone: 313-271-0500 Fax: 313-271-9313 |