| Michael Gordon Stewart, PHD, CCC-A | |
|
1101 Health Professions Bldg, Mt Pleasant, MI 48859-0001 | |
| (989) 774-3904 | |
| (989) 774-1891 |
| Full Name | Michael Gordon Stewart |
|---|---|
| Gender | Male |
| Speciality | Audiologist |
| Location | 1101 Health Professions Bldg, Mt Pleasant, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114008711 | NPI | - | NPPES |
| 1601000250 | Other | MI | STATE LICENSE |
| 640C32605 | Other | MI | BCBS PIN |
| 00719898 | Other | MI | ASHA NUMBER |
| 40-4683793 | Medicaid | MI | |
| 90-2628470 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 1601000250 (Michigan) | Primary |
| 237600000X | Audiologist-hearing Aid Fitter | 1601000250 (Michigan) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Gordon Stewart, PHD, CCC-A 1101 Health Professions Bldg, Mt Pleasant, MI 48859-0001 Ph: (989) 774-3904 | Michael Gordon Stewart, PHD, CCC-A 1101 Health Professions Bldg, Mt Pleasant, MI 48859-0001 Ph: (989) 774-3904 |
Shannon B Palmer, AUD, PHD Audiologist Medicare: Medicare Enrolled Practice Location: 1101 Health Professions Brg, Mt Pleasant, MI 48859 Phone: 989-774-3904 Fax: 989-774-1891 | |
Nathan David Kern, AUD. Audiologist Medicare: Medicare Enrolled Practice Location: 1290 E Broomfield St, Mt Pleasant, MI 48858 Phone: 989-773-1209 Fax: 989-773-4267 | |
Alyssa Rose, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1290 E Broomfield St, Mt Pleasant, MI 48858 Phone: 989-773-1209 Fax: 989-773-4267 | |
Dr. Shannon Leigh Smith, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1290 E Broomfield St, Mt Pleasant, MI 48858 Phone: 989-773-1209 Fax: 989-773-4267 | |
Melanie Dawn Nelson, PHD CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1101 Health Professions Building, Mt Pleasant, MI 48859 Phone: 989-774-1322 Fax: 989-774-1891 | |
Alissa Vanderlaan, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1101 Health Professions Bldg, Mt Pleasant, MI 48859 Phone: 989-774-3904 Fax: 989-774-1891 |