Individual
DR. ALLAN EDWARD DOBZYNIAK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17000 HUBBARD DR, SUITE 300, DEARBORN, MI 48126-4258
(313) 271-3802
Mailing address
17000 HUBBARD DR, SUITE 300, DEARBORN, MI 48126-4258
(313) 271-3802
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
AD029491
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1099661
—
MI
01
—
1108262921
BLUE CROSS ID#
MI
01
—
98999
PPOM PAYOR ID
MI
01
—
C1802
MCARE
MI
Enumeration date
01/22/2006
Last updated
07/08/2007
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