Erin E Van Tiem (NPI# 1255565685, PAC ID# 3779749007) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1255565685 |
| PAC ID by PECOS | 3779749007 |
| Professional Enrollment ID | I20120731000661 |
| Full Name | Erin E Van Tiem |
| Organization Legal Name | FOREFRONT DERMATOLOGY SC |
| Address |
42452 Hayes Rd Suite 3 Clinton Twp MI 48038-6771 |
| Phone Number | 5862633130 |
| Gender | F |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3779471701 |
| Number of Group Practice Members | 289 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230156 | ST JOSEPH MERCY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 706 W Huron St, Ann Arbor, MI 48103-4212 | 7349968757 | FOREFRONT DERMATOLOGY SC |
| 42452 Hayes Rd, Suite 3, Clinton Twp, MI 48038-6771 | 5862633130 | FOREFRONT DERMATOLOGY SC |
| 4362 Cascade Rd Se, Suite 206, Grand Rapids, MI 49546-3670 | 6166782070 | FOREFRONT DERMATOLOGY SC |
| 990 W Ann Arbor Trl, Suite 205, Plymouth, MI 48170-1686 | 7344556881 | FOREFRONT DERMATOLOGY SC |
| Organization Legal Name | FOREFRONT DERMATOLOGY SC |
| Physicians | 289 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christian Wichterman | Dermatology | Forefront Dermatology Sc | 305 E Eisenhower Pkwy, Suite 320, Ann Arbor, MI 48108-3354 |
| Lindsay Michelle Stevens | Nurse Practitioner | Forefront Dermatology Sc | 2246 N Pointe Dr, Warsaw, IN 46582-9042 |
| Miriam Pearl Finkel | Dermatology | Forefront Dermatology Sc | 2790 Mosside Blvd, Suite 720, Monroeville, PA 15146-2757 |
| Stephanie Mathews Kazantsev | Dermatology | Forefront Dermatology Sc | 2051 Plainfield Rd, Crest Hill, IL 60403-1865 |
| Sonam Rama | Dermatology | Forefront Dermatology Sc | 706 W Huron St, Ann Arbor, MI 48103-4212 |
| Danielle Marie Waymire | Dermatology | Forefront Dermatology Sc | 1320 Pabst Farms Cir, Unit 180, Oconomowoc, WI 53066-4878 |
| Marie Saxon Ford | Nurse Practitioner | Forefront Dermatology Sc | 2333 Ring Rd, Elizabethtown, KY 42701-9162 |
| Sarah Campbell | Dermatology | Forefront Dermatology Sc | 913 Menoher Blvd, Johnstown, PA 15905-2834 |
| Gregory Dougan | Physician Assistant | Forefront Dermatology Sc | 911 N Shelby St, Salem, IN 47167-2304 |
| Emily N Williams | Physician Assistant | Forefront Dermatology Sc | 100 N Town Ctr Rd, Suite C, Mooresville, IN 46158-2322 |
| Street Address |
42452 HAYES RD SUITE 3 |
| City | CLINTON TWP |
| State | MI |
| Zip | 48038-6771 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael D Render | Physician Assistant | Forefront Dermatology Sc | 42452 Hayes Rd, Suite 3, Clinton Twp, MI 48038-6771 |
| Lenise A Banse | Dermatology | Forefront Dermatology Sc | 42452 Hayes Rd, Suite 3, Clinton Twp, MI 48038-6771 |
| Cara J Wise | Physician Assistant | Forefront Dermatology Sc | 42452 Hayes Rd, Suite 3, Clinton Twp, MI 48038-6771 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam C Schmid | Nurse Practitioner | Advanced Dermatology of Michigan PC | 44003 Partridge Creek Blvd, Clinton Township, MI 48038-0002 |
| Mary G Marji | Nurse Practitioner | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Mark Allen Miller | Chiropractic | Family Chiropractor PC. | 44476 Hayes Rd, Clinton Township, MI 48038-1090 |
| Rachel M Klamo | Family Medicine | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Jessica Szatkowski | Nurse Practitioner | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Suresh Kumar | Internal Medicine | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Daymon Peterson | Internal Medicine | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Debra A Schmelzer | Physician Assistant | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Sarah L Wisniewski | Physician Assistant | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Aji Njie | Internal Medicine | Lakeside Urgent Care PC | 44472 Hayes Rd, Clinton Township, MI 48038-1090 |
| Find all physicians in zip 48038 | |||
| City | CLINTON TWP |
| Zip Code | 48038 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CLINTON TWP + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Erin E Van Tiem.
| 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.