| Phong Dang, | |
|
28050 Grand River Ave, Farmington Hills, MI 48336-5919 | |
| (947) 521-8000 | |
| Not Available |
| Full Name | Phong Dang |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 28050 Grand River Ave, Farmington Hills, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508548439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704322234 (Michigan) | Primary |
| Entity Name | Botsford General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235179664 PECOS PAC ID: 2668385238 Enrollment ID: O20031113000500 |
| Mailing Address | Practice Location Address |
|---|---|
| Phong Dang, 28050 Grand River Ave, Farmington Hills, MI 48336-5919 Ph: (947) 521-8000 | Phong Dang, 28050 Grand River Ave, Farmington Hills, MI 48336-5919 Ph: (947) 521-8000 |
Jeannine Dahl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 31923 Bella Vista Dr, Farmington Hills, MI 48334 Phone: 734-673-5097 | |
Elizabeth Heath, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 28500 Orchard Lake Rd, Farmington Hills, MI 48334 Phone: 952-442-9770 | |
Ann M Chalmers-corrick, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 248-471-8720 Fax: 248-471-8966 | |
Ovieh D Onomake, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 248-471-8720 Fax: 248-471-8966 | |
Katelynn Jo Barszczowski, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 947-521-8000 | |
Anahid A Nazaretian, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336 Phone: 248-471-8000 Fax: 248-471-8966 | |
Bonita K Empel, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 28500 Orchard Lake Rd, Farmington Hills, MI 48334 Phone: 952-442-9770 |