Individual
DR. GARY PILCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3000
Mailing address
7215 RIVER RIDGE CT, BRIGHTON, MI 48116-7771
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101010039
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113382543
—
MI
05
—
114275673
—
MI
05
—
114287084
—
MI
01
—
GP010039
BC/BS OF MICHIGAN
MI
Enumeration date
05/31/2006
Last updated
06/08/2010
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