Kellie Wendzinski, DO | |
15200 Kercheval Ave, Grosse Pointe Park, MI 48230-1356 | |
(947) 519-6700 | |
Not Available |
Full Name | Kellie Wendzinski |
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Gender | Female |
Speciality | Family Medicine |
Location | 15200 Kercheval Ave, Grosse Pointe Park, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710500640 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5101027350 (Michigan) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (Michigan) | Secondary |
Entity Name | Oakwood Ambulatory Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003829441 PECOS PAC ID: 1850282914 Enrollment ID: O20040320000401 |
Mailing Address | Practice Location Address |
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Kellie Wendzinski, DO 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: () - | Kellie Wendzinski, DO 15200 Kercheval Ave, Grosse Pointe Park, MI 48230-1356 Ph: (947) 519-6700 |
Claudia Kirk, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 15120 Kercheval Ave, Grosse Pointe Park, MI 48230 Phone: 313-469-8281 Fax: 313-458-8864 | |
Peter J. Rodin, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 15200 Kercheval Ave, Grosse Pointe Park, MI 48230 Phone: 313-417-6100 Fax: 313-417-6107 | |
Mrs. Robina Ijaz Sial, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15200 Kercheval Ave, Grosse Pointe Park, MI 48230 Phone: 313-417-6100 | |
Dr. Lindsay Marie Smith, MD MPH Family Medicine Medicare: Medicare Enrolled Practice Location: 15200 Kercheval Ave, Grosse Pointe Park, MI 48230 Phone: 947-519-6700 Fax: 947-519-6701 | |
Lawrence Pan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 15200 Kercheval Ave, Grosse Pointe Park, MI 48230 Phone: 313-417-6100 Fax: 313-417-6107 | |
Dr. Phyllis Torres Bessette, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 711 Balfour, Grosse Pointe Park, MI 48230 Phone: 313-823-6447 |