| Madonna Fabian MD PC | |
|
3078 Niles Rd Saint Joseph MI 49085-8608 | |
| (323) 547-2155 | |
| Not Available |
| Full Name | Madonna Fabian MD PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 3078 Niles Rd, Saint Joseph, Michigan |
| Authorized Official Name and Position | Madonna Fabian (PRESIDENT) |
| Authorized Official Contact | 3235472155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Madonna Fabian MD PC 7320 Stevensville Baroda Rd Stevensville MI 49127-9703 Ph: (323) 547-2155 | Madonna Fabian MD PC 3078 Niles Rd Saint Joseph MI 49085-8608 Ph: (323) 547-2155 |
| NPI Number | 1174106652 |
|---|---|
| Provider Enumeration Date | 05/03/2021 |
| Last Update Date | 05/18/2021 |
| Certification Date | 05/18/2021 |
| Medicare PECOS PAC ID | 2163822438 |
|---|---|
| Medicare Enrollment ID | O20210609000536 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174106652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Madonna Fabian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124438411 PECOS PAC ID: 9931470754 Enrollment ID: I20210609000606 |
Lakeland Medical Practices Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3900 Hollywood Rd, Saint Joseph, MI 49085 Phone: 269-429-9677 |
Brian T Doyle MD PLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 405 Momany Dr, Saint Joseph, MI 49085 Phone: 269-982-1947 Fax: 269-982-1950 |
Corewell Health Lakeland Hospitals (mdpp) Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3900 Hollywood Rd, Saint Joseph, MI 49085 Phone: 269-556-7171 |
Rappha Medical Center, P.L.L.C. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3911 Stonegate Park Dr, Saint Joseph, MI 49085 Phone: 269-408-1777 Fax: 269-408-1755 |
Lakeland Physician Care Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085 Phone: 269-684-0259 Fax: 269-684-0189 |
Arcadia Family Health PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3901 Stonegate Park Ste F, Saint Joseph, MI 49085 Phone: 810-624-1586 |