Organization
E MICHAEL LODISH DO PC
Active
Organization
E MICHAEL LODISH DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. E MICHAEL LODISH DO (PRESIDENT)
(586) 573-3127
Entity
Organization
Contact information
Practice address
3272 E 12 MILE RD, STE 102, WARREN, MI 48092-5622
(586) 573-3127
(586) 573-3130
Mailing address
3272 E 12 MILE RD, STE 102, WARREN, MI 48092-5622
(586) 573-3127
(586) 573-3130
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000003077
CAPEHEALTHPLAN
MI
01
—
0255011674
BCBSM
MI
01
—
107509
CARECHOICES/PREFERREDCHOI
MI
01
—
118395
GREATLAKEHEALTHPLAN
MI
01
—
1533202
UNITED MINEWORKERS
MI
05
—
1899208
—
MI
01
—
3689470001
CIGNA
MI
01
—
4110309
AETNA PPO
MI
01
—
49119
OMNICARE COVENTRY
MI
01
—
E37392
HAP
MI
01
—
M004233
TRICARE
MI
Enumeration date
06/22/2006
Last updated
08/22/2020
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