Organization
LAURENCE E STAWICK MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULA P STAWICK MS RD (PRACTICE MANAGER)
(248) 662-4110
Entity
Organization
Contact information
Practice address
26850 PROVIDENCE PKWY, SUITE 350, NOVI, MI 48374-1213
(248) 662-4110
(248) 662-4120
Mailing address
26850 PROVIDENCE PKWY, SUITE 350, NOVI, MI 48374-1213
(248) 662-4110
(248) 662-4120
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
LS035226
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0P44190
MEDICARE ADVANTAGE BLUE
MI
01
—
1000F34457
BCBSM
MI
01
—
103533
PRIORITY HEALTH
MI
01
—
142605XX
PREFERRED CARE ADMIN SERV
MI
05
—
1922048
—
MI
01
—
B47505
HAP PREFERRED PPO
MI
01
—
DN8656
MEDICARE RAILROAD
MI
Enumeration date
03/16/2007
Last updated
04/24/2014
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