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Organization

DEARBORN MEDICAL ASSOCIATES, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. URSZULA ANNA STUDZINSKI M.D. (M.D. / OWNER)
(313) 277-4929
Entity
Organization

Contact information

Practice address
19855 WEST OUTER DR., SUITE L7, DEARBORN, MI 48124-2022
(313) 277-4929
(313) 561-1842
Mailing address
P.O. BOX 250704, 6725 DALY RD., WEST BLOOMFIELD, MI 48325-0704
(248) 788-7706
(248) 788-0276

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301062467
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
4301062467
MI
208D00000X
General Practice Physician
4301062467
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0824714
BCBSM
MI
01
0P10000
MEDICARE ID-TYPE UNSPECIFIED
MI
01
0P10000001
MEDICARE
MI
01
1108247142
BLUE CROSS BLUE SHIELD
MI
01
12052
CAPE HEALTHPLAN
MI
01
136372
CARE CHOICES HEALTH PLAN
MI
05
3355617
MI
01
923-1
TOTAL HEALTH CARE
MI
01
DR82155
MCARE
MI
01
G37725
PRIORITY HEALTH
MI
01
G37726
PPOM
MI
01
OM13040
MEDCARE ID-TYPE UNSPECIFIED
MI
01
P00197310
RAILROAD MEDICARE
MI
Enumeration date
12/12/2008
Last updated
06/17/2011
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