Dr Frederick F Broniak, DO | |
2333 Biddle St, Wyandotte, MI 48192-4668 | |
(313) 284-9400 | |
Not Available |
Full Name | Dr Frederick F Broniak |
---|---|
Gender | Male |
Speciality | Emergency Medicine - Emergency Medical Services |
Location | 2333 Biddle St, Wyandotte, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164465621 | NPI | - | NPPES |
4266852 | Medicaid | MI | |
4832740 | Medicaid | MI | |
FB008243 | Other | MI | BC/BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | 008243 (Michigan) | Primary |
Entity Name | Southwest Florida Emergency Management Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780911206 PECOS PAC ID: 0648314393 Enrollment ID: O20100218000201 |
Entity Name | Thse - Marco Urgent Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801125331 PECOS PAC ID: 8921131475 Enrollment ID: O20100804000321 |
Mailing Address | Practice Location Address |
---|---|
Dr Frederick F Broniak, DO 9360 Stonehouse Ave, Livonia, MI 48150-3454 Ph: (248) 719-4012 | Dr Frederick F Broniak, DO 2333 Biddle St, Wyandotte, MI 48192-4668 Ph: (313) 284-9400 |
Sweta Banda, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-264-6000 | |
Dr. Zachary Jump, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-287-9029 | |
Elizabeth S Plemmons, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2333 Biddle St, Wyandotte, MI 48192 Phone: 313-284-9400 | |
Fatimoh Oyedele, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-8004 | |
Andrew G Good, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-6000 | |
Dr. Satheesh Gunaga, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2333 Biddle St, Henry Ford Wyandotte Hospital Dept Of Medical Education, Wyandotte, MI 48192 Phone: 734-208-7148 | |
Nicholas Schimmel, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-8004 |