| Edward S. Gordon Dpm Pc | |
|
25656 Schoenherr Road, Warren, MI 48089-1447 | |
| (586) 779-4820 | |
| (586) 779-9535 |
| Full Name | Edward S. Gordon Dpm Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 25656 Schoenherr Road, Warren, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033118658 | NPI | - | NPPES |
| 1198703 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | EG0000597 (Michigan) | Primary |
| Provider Name | Timothy B Snyder |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1245238153 PECOS PAC ID: 5294704458 Enrollment ID: I20070125000249 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward S. Gordon Dpm Pc 25656 Schoenherr Road, Warren, MI 48089-1447 Ph: (586) 779-4820 | Edward S. Gordon Dpm Pc 25656 Schoenherr Road, Warren, MI 48089-1447 Ph: (586) 779-4820 |
Balanced Podiatry Care Podiatrist Medicare: Medicare Enrolled Practice Location: 30205 Schoenherr Rd Ste A, Warren, MI 48088 Phone: 586-751-1288 Fax: 586-299-2001 | |
Dr. Tariq Elagamy, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 29433 Ryan Rd, Warren, MI 48092 Phone: 596-574-0500 | |
Dr Anthony Weinert Dpm Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3272 E 12 Mile Rd, Suite 101, Warren, MI 48092 Phone: 586-751-3338 Fax: 586-751-3312 | |
Charles G Kissel Dpm Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 29433 Ryan Rd, Warren, MI 48092 Phone: 586-574-0500 Fax: 586-574-2694 | |
Dr. Gary Mauro, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3701 E 13 Mile Rd, Warren, MI 48092 Phone: 586-979-1060 | |
Charles G Kissel Dpm Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 29433 Ryan Rd, Warren, MI 48092 Phone: 586-574-0500 Fax: 586-574-2694 |