Danielle Marie Olson-basora (NPI# 1891112819, PAC ID# 6901024678) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1891112819 |
| PAC ID by PECOS | 6901024678 |
| Professional Enrollment ID | I20181004001749 |
| Full Name | Danielle Marie Olson-basora |
| Organization Legal Name | MUNSON HEALTHCARE MANISTEE HOSPITAL |
| Address |
1400 E Parkdale Ave 4 West Shore Medical Center Physician Services Manistee MI 49660-9776 |
| Phone Number | 2313981840 |
| Gender | F |
| Medical School | UNIVERSITY OF MIAMI SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3072414333 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230303 | MUNSON HEALTHCARE MANISTEE HOSPITAL |
| 230110 | SPECTRUM HEALTH LUDINGTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1400 E Parkdale Ave, 4 West Shore Medical Center Physician Services, Manistee, MI 49660-9776 | 2313981840 | MUNSON HEALTHCARE MANISTEE HOSPITAL |
| 1465 E Parkdale Ave, Manistee, MI 49660-9785 | 2313981141 | MUNSON HEALTHCARE MANISTEE HOSPITAL |
| Organization Legal Name | MUNSON HEALTHCARE MANISTEE HOSPITAL |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel A Vandenberg | Family Medicine | Munson Healthcare Manistee Hospital | 1400 E Parkdale Ave, 4 West Shore Medical Center Physician Services, Manistee, MI 49660-9776 |
| Vinson Consolacion Ulep | General Surgery | Munson Healthcare Manistee Hospital | 1293 E Parkdale Ave, 2300 West Shore Medical Center Physician Services, Manistee, MI 49660-8904 |
| Kristin Watson | Physician Assistant | Munson Healthcare Manistee Hospital | 1293 E Parkdale Ave, Manistee, MI 49660-8904 |
| Brian J Mccomb | Family Medicine | Munson Healthcare Manistee Hospital | 1293 E Parkdale Ave, Manistee, MI 49660-8904 |
| Daniel Liendo | Physician Assistant | Munson Healthcare Manistee Hospital | 1293 E Parkdale Ave, Manistee, MI 49660-8904 |
| Amy L Kane | Nurse Practitioner | Munson Healthcare Manistee Hospital | 1293 E Parkdale Ave, 2200 West Shore Medical Center Physician Services, Manistee, MI 49660-8904 |
| Robert Barry | Orthopedic Surgery | Munson Healthcare Manistee Hospital | 1293 E Parkdale Ave, Manistee, MI 49660-8904 |
| Dawn M Madsen | Clinical Social Worker | Munson Healthcare Manistee Hospital | 1293 E Parkdale Ave, Manistee, MI 49660-8904 |
| David Quimby | Pulmonary Disease | Munson Healthcare Manistee Hospital | 1465 E Parkdale Ave, Manistee, MI 49660-9785 |
| James C Buswinka | Neurology | Munson Healthcare Manistee Hospital | 1465 E Parkdale Ave, Manistee, MI 49660-9785 |
| Street Address |
1400 E PARKDALE AVE 4 WEST SHORE MEDICAL CENTER PHYSICIAN SERVICES |
| City | MANISTEE |
| State | MI |
| Zip | 49660-9776 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel A Vandenberg | Family Medicine | Munson Healthcare Manistee Hospital | 1400 E Parkdale Ave, 4 West Shore Medical Center Physician Services, Manistee, MI 49660-9776 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas M Richley | Dermatology | 315 Oakgrove St, Manistee, MI 49660-1176 | |
| Jessica A Stege | Chiropractic | 194 Cleveland St A, Manistee, MI 49660-1296 | |
| Jeffrey Scott Weber | Podiatry | 294 River St, Ofc 4, Manistee, MI 49660-1475 | |
| Randy G Hartman | Podiatry | 294 River St, Manistee, MI 49660-1475 | |
| Daniel T Lathrop | Podiatry | Birch Tree Podiatry Group PC | 294 River St, Manistee, MI 49660-1475 |
| Brian Arthur Allen | Optometry | Blue Coast Vision PC | 384 1st St, Manistee, MI 49660-1751 |
| Pamela D Lynch | Optometry | Blue Coast Vision PC | 384 1st St, Manistee, MI 49660-1751 |
| John E Veach | Optometry | Veach and Allen PC | 384 1st St, Manistee, MI 49660-1751 |
| Dawn M Engman | Clinical Social Worker | Manistee Benzie Community Mental Health | 310 Glocheski Dr, Manistee, MI 49660-2639 |
| Paul J Antal | Family Medicine | 72 Filer St, Manistee, MI 49660-2717 | |
| Find all physicians in zip 49660 | |||
| City | MANISTEE |
| Zip Code | 49660 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MANISTEE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Danielle Marie Olson-basora.
| 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.