| Laurence E Stawick Md Pc | |
|
26850 Providence Pkwy Suite 350 Novi MI 48374-1213 | |
| (248) 662-4110 | |
| (248) 662-4120 |
| Full Name | Laurence E Stawick Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 26850 Providence Pkwy, Novi, Michigan |
| Authorized Official Name and Position | Paula P Stawick (PRACTICE MANAGER) |
| Authorized Official Contact | 2486624110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurence E Stawick Md Pc 26850 Providence Pkwy Suite 350 Novi MI 48374-1213 Ph: (248) 662-4110 | Laurence E Stawick Md Pc 26850 Providence Pkwy Suite 350 Novi MI 48374-1213 Ph: (248) 662-4110 |
| NPI Number | 1730203936 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 04/24/2014 |
| Medicare PECOS PAC ID | 8325146012 |
|---|---|
| Medicare Enrollment ID | O20070604000423 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730203936 | NPI | - | NPPES |
| 0P44190 | Other | MI | MEDICARE ADVANTAGE BLUE |
| B47505 | Other | MI | HAP PREFERRED PPO |
| 1922048 | Medicaid | MI | |
| B47505 | Other | MI | HEALTH ALLIANCE PLAN |
| 1000F34457 | Other | MI | BCBSM |
| 1000F34457 | Other | MI | BCN |
| 103533 | Other | MI | PRIORITY HEALTH |
| 142605XX | Other | MI | PREFERRED CARE ADMIN SERV |
| DN8656 | Other | MI | MEDICARE RAILROAD |
| B47505 | Other | MI | ALLIANCE HEALTH AND LIFE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | LS035226 (Michigan) | Primary |
| Provider Name | Laurence E Stawick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710953914 PECOS PAC ID: 0244338937 Enrollment ID: I20070604000416 |
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