| G. Daniel Shanahan Iv Dpm Pc | |
|
9640 Commerce Rd Ste 102, Commerce Twp, MI 48382-4167 | |
| (248) 360-3888 | |
| (248) 363-0894 |
| Full Name | G. Daniel Shanahan Iv Dpm Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 9640 Commerce Rd Ste 102, Commerce Twp, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053417816 | NPI | - | NPPES |
| 1770712358 | Other | JENNIFER L PETRONELLA DPM NPI NUMBER | |
| 5901002333 | Other | MI | JENNIFER L PETRONELLA DPM STATE LICENSE |
| 5901001605 | Other | MI | G DANIEL SHANAHAN IV DPM STATE LICENSE |
| N78970 | Other | MEDICARE GROUP NUMBER | |
| 480F321940 | Other | MI | BLUE CROSS BLUE SHIELD |
| 1003818907 | Other | G. D SHANAHAN DPM NPI # | |
| 1790880284 | Other | AIMEE A. POPOFSKI DPM NPI NUMBER | |
| 5901002236 | Other | MI | AIMEE A. POPOFSKI STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | George Shanahan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003818907 PECOS PAC ID: 8022912278 Enrollment ID: I20031126000352 |
| Provider Name | Jennifer Lynn Petronella |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1770712358 PECOS PAC ID: 6901062587 Enrollment ID: I20120726000068 |
| Mailing Address | Practice Location Address |
|---|---|
| G. Daniel Shanahan Iv Dpm Pc 9640 Commerce Rd Ste 102, Commerce Twp, MI 48382-4167 Ph: (248) 360-3888 | G. Daniel Shanahan Iv Dpm Pc 9640 Commerce Rd Ste 102, Commerce Twp, MI 48382-4167 Ph: (248) 360-3888 |
Dr. George Daniel Shanahan Iv, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9640 Commerce Rd Ste 102, Commerce Twp, MI 48382 Phone: 248-360-3888 Fax: 248-363-0894 | |
Dr. Steven Michael Zavinsky, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1 William Carls Dr, Rsc @ Huron Valley Sinai Hospital, Commerce Twp, MI 48382 Phone: 248-937-4947 Fax: 248-937-5150 | |
Semma Podiatry Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1001 Welch Rd, Suite 110, Commerce Twp, MI 48390 Phone: 786-503-5551 Fax: 786-364-1580 | |
Dr. Randy Semma, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1001 Welch Rd, Suite 110, Commerce Twp, MI 48390 Phone: 248-056-0177 Fax: 248-694-2102 | |
Jerry E Zayid Dpm Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 2559 Union Lake Rd, Commerce Twp, MI 48382 Phone: 248-245-3392 Fax: 248-363-8652 | |
Jeffery Levitt, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 3406 Circle Dr, Commerce Twp, MI 48382 Phone: 248-342-0653 |