| O. E. Horodysky, M.d., P.c. | |
|
12206 Morang Detroit MI 48224 | |
| (313) 371-5656 | |
| Not Available |
| Full Name | O. E. Horodysky, M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 12206 Morang, Detroit, Michigan |
| Authorized Official Name and Position | Orest Eugene Horodysky (PRESIDENT) |
| Authorized Official Contact | 3133715656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| O. E. Horodysky, M.d., P.c. 12206 Morang Detroit MI 48224 Ph: (313) 371-5656 | O. E. Horodysky, M.d., P.c. 12206 Morang Detroit MI 48224 Ph: (313) 371-5656 |
| NPI Number | 1891867131 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 07/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891867131 | NPI | - | NPPES |
| 103790910 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 28607 (Michigan) | Primary |
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