Emily Nowicki, MD | |
44405 Woodward Ave, Pontiac, MI 48341-5023 | |
(242) 858-3000 | |
Not Available |
Full Name | Emily Nowicki |
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Gender | Female |
Speciality | Pediatrics |
Location | 44405 Woodward Ave, Pontiac, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699201251 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 125.069979 (Illinois) | Secondary |
208000000X | Pediatrics | 4301501602 (Michigan) | Primary |
Entity Name | Sjmh Medical Practice-smhc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346284684 PECOS PAC ID: 8628965175 Enrollment ID: O20040301000770 |
Mailing Address | Practice Location Address |
---|---|
Emily Nowicki, MD 44405 Woodward Ave, Pontiac, MI 48341-5023 Ph: (242) 858-3000 | Emily Nowicki, MD 44405 Woodward Ave, Pontiac, MI 48341-5023 Ph: (242) 858-3000 |
Dr. Peter Alnajjar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 673 Martin Luther King Blvd., Pontiac, MI 48342 Phone: 248-334-0024 Fax: 248-334-0842 | |
Esam A. Kazem, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Henry Ford Health System, 44405 Woodward H-24, Pontiac, MI 48053 Phone: 248-858-3526 Fax: 248-858-3532 | |
Roy J Pullukat, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 44200 Woodward Ave, Suite 103, Pontiac, MI 48341 Phone: 248-253-9600 Fax: 248-253-0980 | |
Amy Lynn Martin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 44405 Woodward Ave, Neonatal/perinatal Medicine, Pontiac, MI 48341 Phone: 248-333-7162 | |
Gayatri Garg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3400 Fax: 248-858-6232 | |
Kingsley Archer Thomas, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 989 University Dr, Suite 105, Pontiac, MI 48342 Phone: 248-373-2720 Fax: 248-373-3080 |