Marko R Gudziak, MD | |
44200 Woodward, Suite 207, Pontiac, MI 48341-2981 | |
(248) 322-6103 | |
(248) 322-6108 |
Full Name | Marko R Gudziak |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 37 Years |
Location | 44200 Woodward, Pontiac, 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 |
---|---|---|---|
1871558569 | NPI | - | NPPES |
5205588 | Other | MI | AETNA |
126142 | Other | MI | PRIORITY HEALTH |
0991683 | Other | MI | HEALTH PLUS |
F60397 | Other | MI | HAP |
340017337 | Other | MI | RAILROAD MEDICARE |
0605710001 | Other | MI | CIGNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 4301063869 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph Mercy Oakland | Pontiac, MI | Hospital |
Beaumont Hospital, Troy | Troy, MI | Hospital |
Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
Huron Valley-sinai Hospital | Commerce township, MI | Hospital |
Mclaren Oakland | Pontiac, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Michigan Institute Of Urology Pc | 1052223492 | 75 |
Entity Name | Michigan Institute Of Urology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427027416 PECOS PAC ID: 1052223492 Enrollment ID: O20031125000770 |
Mailing Address | Practice Location Address |
---|---|
Marko R Gudziak, MD 20952 E 12 Mile Rd, Suite 200, St Clair Shores, MI 48081-3200 Ph: (586) 771-4820 | Marko R Gudziak, MD 44200 Woodward, Suite 207, Pontiac, MI 48341-2981 Ph: (248) 322-6103 |
Dr. Alexander David Tapper, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 44200 Woodward Ave Ste 207, Pontiac, MI 48341 Phone: 248-322-6103 Fax: 248-622-6108 | |
Dr. Alec Wilson, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 44200 Woodward Ave Ste 207, Pontiac, MI 48341 Phone: 248-322-6103 Fax: 248-322-6108 |