| Andrew J. Madak, D.o., P.c. | |
|
455 S Livernois Rd C-22 Rochester Hills MI 48307-2578 | |
| (248) 601-5780 | |
| (248) 605-8786 |
| Full Name | Andrew J. Madak, D.o., P.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 455 S Livernois Rd, Rochester Hills, Michigan |
| Authorized Official Name and Position | Andrew John Madak (PRESIDENT) |
| Authorized Official Contact | 2486015780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew J. Madak, D.o., P.c. 455 S Livernois Rd C-22 Rochester Hills MI 48307-2578 Ph: (248) 601-5780 | Andrew J. Madak, D.o., P.c. 455 S Livernois Rd C-22 Rochester Hills MI 48307-2578 Ph: (248) 601-5780 |
| NPI Number | 1891960092 |
|---|---|
| Provider Enumeration Date | 04/28/2008 |
| Last Update Date | 12/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891960092 | NPI | - | NPPES |
| 56304394 | Other | MI | BCBSM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 510102535 (Michigan) | Primary |
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