Individual
ERNESTO R DRELICHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16001 W 9 MILE RD, 3RD FLOOR FISHER, SOUTHFIELD, MI 48075-4818
(248) 849-6030
Mailing address
16001 W 9 MILE RD, 3RD FLOOR FISHER, SOUTHFIELD, MI 48075-4818
(248) 849-6030
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
26148
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009964605
—
AL
05
—
009968565
—
AL
01
—
020F364690
BCBSM
MI
01
—
051524168
BLUE CROSS
AL
01
—
051524172
BLUE CROSS
AL
05
—
1801839899
—
MI
01
—
P00153440
RAILROAD MEDICARE
AL
Enumeration date
06/14/2006
Last updated
09/16/2011
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