Brendan Pytlak, RN | |
5842 Hartwick Dr, West Bloomfield, MI 48324-2417 | |
(313) 310-2251 | |
Not Available |
Full Name | Brendan Pytlak |
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Gender | Male |
Speciality | Registered Nurse |
Location | 5842 Hartwick Dr, West Bloomfield, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841861879 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 4704327400 (Michigan) | Primary |
Entity Name | Northstar Anesthesia Of Michigan Iii Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972126209 PECOS PAC ID: 7911325469 Enrollment ID: O20200915001990 |
Mailing Address | Practice Location Address |
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Brendan Pytlak, RN 5842 Hartwick Dr, West Bloomfield, MI 48324-2417 Ph: () - | Brendan Pytlak, RN 5842 Hartwick Dr, West Bloomfield, MI 48324-2417 Ph: (313) 310-2251 |
John Stephen Duginski, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2454 Middlebelt Rd, West Bloomfield, MI 48324 Phone: 414-750-6213 | |
Mrs. Maja Cerimagic, RN, IBCLC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6777 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-325-2839 | |
Ann Timm, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2300 Haggerty Rd, West Bloomfield, MI 48323 Phone: 248-859-2457 Fax: 248-859-2473 | |
Nelly Q Tester, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2300 Haggerty Rd Ste 2160, West Bloomfield, MI 48323 Phone: 248-859-2457 Fax: 248-859-2473 | |
Ronnya Peter, BSN Registered Nurse Medicare: Medicare Enrolled Practice Location: 6777 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-325-1000 | |
Brigid Isabel Rojas, Registered Nurse Medicare: Medicare Enrolled Practice Location: 6777 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-325-0611 | |
Lillie Ying Spilman, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6777 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-661-6602 |