Unknown Individual – Specialist, NPI 1124082151
Specialist
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Tecumseh, Wood County, West Virginia, 24180, United States
P.O. BOX 130
TECUMSEH, MI 49286
Phone: (517) 423-6803
Fax: (517) 423-7257
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49286)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | MI | 83036 | Hemoglobin A1C level | 65 | 29 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Family Practice | CA | |
| Internal Medicine | MI | |
| - | MI |
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