| Compassionate Gynecology Of Michigan Pllc | |
|
445 N Fenway Dr Fenton MI 48430-2666 | |
| (810) 869-6086 | |
| (833) 872-0085 |
| Full Name | Compassionate Gynecology Of Michigan Pllc |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 445 N Fenway Dr, Fenton, Michigan |
| Authorized Official Name and Position | Martinique Kling (OWNER) |
| Authorized Official Contact | 9894308964 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compassionate Gynecology Of Michigan Pllc 445 N Fenway Dr Fenton MI 48430-2666 Ph: (810) 869-6086 | Compassionate Gynecology Of Michigan Pllc 445 N Fenway Dr Fenton MI 48430-2666 Ph: (810) 869-6086 |
| NPI Number | 1295479251 |
|---|---|
| Provider Enumeration Date | 04/26/2022 |
| Last Update Date | 04/18/2023 |
| Medicare PECOS PAC ID | 3678944725 |
|---|---|
| Medicare Enrollment ID | O20230127000900 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295479251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | (* (Not Available)) | Primary |
| Provider Name | Martinique N Kling |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831399021 PECOS PAC ID: 7315126042 Enrollment ID: I20110126000742 |
April B Tyler Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1361 N Long Lake Rd, Fenton, MI 48430 Phone: 810-629-6996 Fax: 810-629-0614 | |
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