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Organization
O. E. HORODYSKY, M.D., P.C.
Active
Organization
O. E. HORODYSKY, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OREST EUGENE HORODYSKY MD (PRESIDENT)
(313) 371-5656
Entity
Organization
Contact information
Practice address
12206 MORANG, DETROIT, MI 48224
(313) 371-5656
Mailing address
12206 MORANG, DETROIT, MI 48224
(313) 371-5656
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28607
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103790910
—
MI
Enumeration date
11/14/2006
Last updated
07/31/2008
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