Daniel T Tetzlaff (NPI# 1053685487, PAC ID# 0840555629) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1053685487 |
| PAC ID by PECOS | 0840555629 |
| Professional Enrollment ID | I20180526000027 |
| Full Name | Daniel T Tetzlaff |
| Organization Legal Name | CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL INC |
| Address |
16523 S Water Tower Dr Wmh Community Care Clinic Kinross Kincheloe MI 49788-1592 |
| Phone Number | 9064951344 |
| Gender | M |
| Graduation Year | 1999 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 7315936481 |
| Number of Group Practice Members | 69 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230239 | CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 16523 S Water Tower Dr, Wmh Community Care Clinic Kinross, Kincheloe, MI 49788-1592 | 9064951344 | CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL INC |
| Organization Legal Name | CHIPPEWA COUNTY WAR MEMORIAL HOSPITAL INC |
| Physicians | 62 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teresa Ann Plummer | Nurse Practitioner | Chippewa County War Memorial Hospital Inc | 391 E Hwy M 134, Cedarville Medical Center, Cedarville, MI 49719-9758 |
| Kelli L Virgin | Internal Medicine | Chippewa County War Memorial Hospital Inc | 146 W Spruce St, Sault Sainte Marie, MI 49783-1912 |
| Rachel Ann Cron | Physician Assistant | Chippewa County War Memorial Hospital Inc | 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 |
| Lisa M Tetzlaff | Nurse Practitioner | Chippewa County War Memorial Hospital Inc | 1138 W 3 Mile Rd, War Memorial Fast Care, Sault Sainte Marie, MI 49783-9132 |
| Carol B Richwine | Nurse Practitioner | Chippewa County War Memorial Hospital Inc | 33896 S Townline Rd, Drummond Island Medical Center, Drummond Island, MI 49726 |
| Edward F Smith | Hematology/oncology | Chippewa County War Memorial Hospital Inc | 509 Osborn Blvd, Sault Sainte Marie, MI 49783-2069 |
| Felix Winkler | Anesthesiology | Chippewa County War Memorial Hospital Inc | 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 |
| Linda Higginbotham | Dermatology | Chippewa County War Memorial Hospital Inc | 146 W Spruce St, Sault Sainte Marie, MI 49783-1912 |
| Jaimee S Brow | Nurse Practitioner | Chippewa County War Memorial Hospital Inc | 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 |
| Lori L Armstrong | Nurse Practitioner | Chippewa County War Memorial Hospital Inc | 16523 S Water Tower Dr, Wmh Community Care Clinic Kinross, Kincheloe, MI 49788-1592 |
| Street Address |
16523 S WATER TOWER DR WMH COMMUNITY CARE CLINIC KINROSS |
| City | KINCHELOE |
| State | MI |
| Zip | 49788-1592 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori L Armstrong | Nurse Practitioner | Chippewa County War Memorial Hospital Inc | 16523 S Water Tower Dr, Wmh Community Care Clinic Kinross, Kincheloe, MI 49788-1592 |
| Diana L Wilson | Nurse Practitioner | Chippewa County War Memorial Hospital Inc | 16523 S Water Tower Dr, Wmh Community Care Clinic Kinross, Kincheloe, MI 49788-1592 |
| City | KINCHELOE |
| Zip Code | 49788 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | KINCHELOE + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Daniel T Tetzlaff.
| 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.