Frederick M Detorres (NPI# 1518023480, PAC ID# 1254227127) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ALLERGY/IMMUNOLOGY.
| Nation Provider ID (NPI) | 1518023480 |
| PAC ID by PECOS | 1254227127 |
| Professional Enrollment ID | I20040226000616 |
| Full Name | Frederick M Detorres |
| Address |
6215 Harvey St Norton Shores MI 49444-9739 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1987 |
| Primary Specialty | ALLERGY/IMMUNOLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230066 | MERCY HEALTH HACKLEY CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 6215 Harvey St, Norton Shores, MI 49444-9739 |
| Street Address |
6215 HARVEY ST |
| City | NORTON SHORES |
| State | MI |
| Zip | 49444-9739 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wendi A Grasman | Physician Assistant | Shoreline Allergy, P.C. | 6215 Harvey St, Norton Shores, MI 49444-9739 |
| Timothy A Pebbles | Physician Assistant | Shoreline Allergy, P.C. | 6215 Harvey St, Norton Shores, MI 49444-9739 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katie Vanheck | Certified Nurse Midwife (cnm) | Mgh Family Health Center | 2201 S Getty St, Muskegon, MI 49444-1207 |
| Frank Remington Sprague | Internal Medicine | Mgh Family Health Center | 2201 S Getty St, Muskegon, MI 49444-1207 |
| Timothy E Kval | Family Medicine | Mgh Family Health Center | 2201 S Getty St, Muskegon, MI 49444-1207 |
| Beth Ann Stille | Nurse Practitioner | Mgh Family Health Center | 2201 S Getty St, Muskegon, MI 49444-1207 |
| Racquel M Brockington | Family Medicine | Mgh Family Health Center | 2201 S Getty St, Muskegon, MI 49444-1207 |
| Mariela A Rich | Certified Nurse Midwife (cnm) | Mgh Family Health Center | 2201 S Getty St, Muskegon, MI 49444-1207 |
| Gaye L Paget | Physician Assistant | Mgh Family Health Center | 2201 S Getty St, Muskegon, MI 49444-1207 |
| Abigail M Rienstra | Nurse Practitioner | Mgh Family Health Center | 2201 S Getty St, Muskegon, MI 49444-1207 |
| Margaret Elizabeth R Wolter | Nurse Practitioner | Mgh Family Health Center | 2201 S Getty St, Muskegon, MI 49444-1207 |
| Traci L Jones | Nurse Practitioner | Mgh Family Health Center | 2201 S Getty St, Muskegon, MI 49444-1207 |
| Find all physicians in zip 49444 | |||
| City | NORTON SHORES |
| Zip Code | 49444 |
| Specialty | ALLERGY/IMMUNOLOGY |
| City + Specialty | NORTON SHORES + ALLERGY/IMMUNOLOGY |
Please comment or provide details below to improve the information on Frederick M Detorres.
| 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.