Individual
EMILY ELIZABETH PENN-BIALASKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
18101 OAKWOOD BLVD, EMERGENCY DEPT, DEARBORN, MI 48124-4089
(313) 593-8780
(313) 436-2864
Mailing address
38935 ANN ARBOR RD, CREDENTIALING DEPT, LIVONIA, MI 48150-3397
(734) 632-0175
(734) 632-0182
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101017703
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12401221
CAQH
MI
05
—
1316109788
—
MI
Enumeration date
06/27/2008
Last updated
08/15/2013
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