Michael C Dettloff (NPI# 1023463312, PAC ID# 6002100591) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1023463312 |
| PAC ID by PECOS | 6002100591 |
| Professional Enrollment ID | I20180227001515 |
| Full Name | Michael C Dettloff |
| Organization Legal Name | DEGARA APP PLLC |
| Address |
1900 Columbus Ave Bay City MI 48708-6831 |
| Phone Number | 9898943000 |
| Gender | M |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 7618251398 |
| Number of Group Practice Members | 135 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230041 | MCLAREN BAY REGION |
| 231329 | CARO COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1900 Columbus Ave, Bay City, MI 48708-6831 | 9898943000 | DEGARA APP PLLC |
| 200 Hemlock St, St Joseph Tawas, Tawas, MI 48764-9237 | 9893623411 | DEGARA APP PLLC |
| Organization Legal Name | DEGARA APP PLLC |
| Physicians | 105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zebulon E Heidt | Emergency Medicine | Degara App Pllc | 2110 S M, Suite 76, West Branch, MI 48661-8737 |
| Kevin James Macconnachie | Emergency Medicine | Degara App Pllc | 401 N Hooper St, Mclaren Caro Region, Caro, MI 48723-1476 |
| Corey Alvarez | Emergency Medicine | Degara App Pllc | 805 W Cedar St, St Marys of Standish, Standish, MI 48658-9526 |
| Rasheed A Siddiqui | Internal Medicine | Degara App Pllc | 401 W Greenlawn Ave, Lansing, MI 48910-2819 |
| Michelle A Coaster | Physician Assistant | Degara App Pllc | 1900 Columbus Ave, Bay City, MI 48708-6831 |
| Jodi L Ralston | Emergency Medicine | Degara App Pllc | 401 S Ballenger Hwy, Flint, MI 48532-3638 |
| Rose Kodsy | Nurse Practitioner | Degara App Pllc | 401 W Greenlawn Ave, Lansing, MI 48910-2819 |
| Daniel P Wilkerson | Emergency Medicine | Degara App Pllc | 401 W Greenlawn Ave, Lansing, MI 48910-2819 |
| Brendan Haigis | Emergency Medicine | Degara App Pllc | 1375 N Main St, Lapeer, MI 48446-1350 |
| Joseph L Warren | Emergency Medicine | Degara App Pllc | 401 W Greenlawn Ave, Lansing, MI 48910-2819 |
| Street Address |
1900 COLUMBUS AVE |
| City | BAY CITY |
| State | MI |
| Zip | 48708-6831 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martie M Reigle | Certified Registered Nurse Anesthetist (crna) | Asa Staffing Inc | 1900 Columbus Ave, Bay City, MI 48708-6831 |
| Michelle A Coaster | Physician Assistant | Degara App Pllc | 1900 Columbus Ave, Bay City, MI 48708-6831 |
| Christine Gransden | Nurse Practitioner | Mclaren Bay Region | 1900 Columbus Ave, Bay City, MI 48708-6831 |
| Ziad A Rabban | Internal Medicine | Mclaren Bay Region | 1900 Columbus Ave, Bay City, MI 48708-6831 |
| Adam D Nicholas | Psychiatry | Mclaren Bay Region | 1900 Columbus Ave, Bay City, MI 48708-6831 |
| Alison J Spalding | Certified Registered Nurse Anesthetist (crna) | Asa Staffing Inc | 1900 Columbus Ave, Bay City, MI 48708-6831 |
| Ashely A Strohmer | Certified Registered Nurse Anesthetist (crna) | Asa Staffing Inc | 1900 Columbus Ave, Bay City, MI 48708-6831 |
| Sandra E Johnson | Certified Registered Nurse Anesthetist (crna) | Asa Staffing Inc | 1900 Columbus Ave, Bay City, MI 48708-6831 |
| Glenn C Webster | Diagnostic Radiology | Mclaren Bay Region | 1900 Columbus Ave, Bay City, MI 48708-6831 |
| Sharlene Bailey | Diagnostic Radiology | Mclaren Bay Region | 1900 Columbus Ave, Bay City, MI 48708-6831 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary W Baughman | Podiatry | 720 Livingston, Bay City, MI 48708 | |
| Becky A Lang | Obstetrics/gynecology | 601 Mulholland St, Bay City, MI 48708-4208 | |
| Mary A Durbin | Obstetrics/gynecology | 601 Mulholland St, Bay City, MI 48708-4208 | |
| Tabitha A Steere | Nurse Practitioner | Hcr Manor Care Medical Services of Florida LLC | 800 Mulholland St, Bay City, MI 48708-4209 |
| Rebecca M Kelley | Nurse Practitioner | Hcr Manor Care Medical Services of Florida LLC | 800 Mulholland St, Bay City, MI 48708-4209 |
| Jason M Kopec | Nurse Practitioner | Hcr Manor Care Medical Services of Florida LLC | 800 Mulholland St, Bay City, MI 48708-4209 |
| Nicholas J Orow | Family Medicine | 712 S Trumbull St, Bay City, MI 48708-4211 | |
| Douglas M Cummings | Urology | Urology Health Center Pllc | 712 S Trumbull St, Bay City, MI 48708-4211 |
| Japhet G Joseph | Cardiovascular Disease (cardiology) | 714 S Trumbull St, Suite 2, Bay City, MI 48708-4217 | |
| Uma Cherukuri | Internal Medicine | Vc Reddy Md and Ss Dandamudi Md PC | 714 S Trumbull St, Bay City, MI 48708-4217 |
| Find all physicians in zip 48708 | |||
| City | BAY CITY |
| Zip Code | 48708 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | BAY CITY + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Michael C Dettloff.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.