Lester J Kobylak, MD | |
Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | |
(313) 916-2436 | |
Not Available |
Full Name | Lester J Kobylak |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 51 Years |
Location | Henry Ford Health System, Detroit, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811065360 | NPI | - | NPPES |
LK034510 | Other | CHAMPUS-CHAMPUS | |
LK034510 | Other | COMMERCIAL-COMMERCIAL NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301034510 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Henry Ford Home Health Care | Detroit, MI | Home health agency |
Henry Ford Hospital | Detroit, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Henry Ford Medical Group | 0547178311 | 2124 |
Entity Name | Henry Ford Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139 |
Mailing Address | Practice Location Address |
---|---|
Lester J Kobylak, MD Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 Ph: (313) 916-2436 | Lester J Kobylak, MD Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 Ph: (313) 916-2436 |
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