Dr Andrew I Dzul, MD | |
21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1116 | |
(586) 779-7610 | |
Not Available |
Full Name | Dr Andrew I Dzul |
---|---|
Gender | Male |
Speciality | Otolaryngology - Otolaryngic Allergy |
Location | 21000 E 12 Mile Rd, Saint Clair Shores, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295828358 | NPI | - | NPPES |
101664 | Other | CARE CHOICES | |
040E061920 | Other | MI | BLUE SHIELD GROUP |
C4865 | Other | MCARE | |
0405001172 | Other | MI | BLUE CROSS BLUE SHIELD |
0500117 | Other | BLUE CARE NETWORK | |
103904 | Other | GREAT LAKES | |
040000850 | Other | RAILROAD MEDICARE | |
2340163001 | Other | CIGNA | |
4033205 | Other | AETNA | |
A76344 | Other | HEALTH ALLIANCE PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207YX0602X | Otolaryngology - Otolaryngic Allergy | AD044645 (Michigan) | Primary |
Entity Name | Lakeshore Ear Nose And Throat Center Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285803346 PECOS PAC ID: 7315928934 Enrollment ID: O20040528000112 |
Mailing Address | Practice Location Address |
---|---|
Dr Andrew I Dzul, MD 21000 E 12 Mile Rd, Ste 111, St Clair Shores, MI 48081 Ph: (586) 779-7610 | Dr Andrew I Dzul, MD 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1116 Ph: (586) 779-7610 |
Dr. Douglas Carl Kubek, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 21000 E 12 Mile Rd, Ste 111, Saint Clair Shores, MI 48081 Phone: 586-779-7610 Fax: 586-779-1391 | |
Dr. Andrew Bennett Sewell, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081 Phone: 586-779-7610 Fax: 586-779-0031 | |
Dr. Michael S Fozo, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081 Phone: 586-779-7610 | |
Dr. Adam D Rubin, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081 Phone: 586-779-7610 | |
Dr. Robert E Brammer, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081 Phone: 586-779-7610 | |
Cameron M Heilbronn, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081 Phone: 586-779-7610 Fax: 586-779-7882 |