| Ms Toni M Clisch, NP-C | |
|
500 Campus Dr Ste 4, Hancock, MI 49930-1452 | |
| (906) 483-1730 | |
| Not Available |
| Full Name | Ms Toni M Clisch |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 500 Campus Dr Ste 4, Hancock, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154019750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704341919NSA230B7 (Michigan) | Primary |
| Entity Name | Portage Physician Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225461684 PECOS PAC ID: 6103053509 Enrollment ID: O20131210001058 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Toni M Clisch, NP-C 31 Gregory St, Lake Linden, MI 49945-1248 Ph: (906) 362-0529 | Ms Toni M Clisch, NP-C 500 Campus Dr Ste 4, Hancock, MI 49930-1452 Ph: (906) 483-1730 |
Holly Janette Martinchek, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1000 | |
Mrs. Brittany Andrianna Wadaga, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1060 Fax: 906-372-3230 | |
Melissa Marie Hoffmeyer, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1700 Fax: 906-483-1735 | |
Jessica Caulkins, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 Campus Dr Ste 4, Hancock, MI 49930 Phone: 906-483-1730 | |
Melissa Sue Meier, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1000 | |
Bruce Anderson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Campus Dr, Hancock, MI 49930 Phone: 906-483-1000 |