Individual
DR. AGATA M MICHALCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
909 W MAPLE RD, STE 100, CLAWSON, MI 48017
(248) 435-2028
(248) 435-2099
Mailing address
909 W MAPLE RD, STE 100, CLAWSON, MI 48017
(248) 435-2028
(248) 435-2099
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101013050
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080F319020
BCBS
—
05
—
4430930
—
MI
Enumeration date
02/15/2006
Last updated
03/31/2008
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