Organization
HANNA OBERTYNSKI M D P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HANNA J OBERTYNSKI M.D. (PRESIDENT)
(248) 524-4000
Entity
Organization
Contact information
Practice address
2891 E MAPLE RD, STE#200, TROY, MI 48083-6106
(248) 524-4000
(248) 524-0077
Mailing address
2891 E MAPLE RD, STE#200, TROY, MI 48083-6106
(248) 524-4000
(248) 524-0077
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301030536
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104160
GREAT LAKES HEALTH PLAN
—
01
—
125115
CARE CHOICE HMO
—
01
—
180F387820
BLUE CROSS BLUE SHIELD OF MICHIGAN
—
01
—
181045143
MEDICARE RAILROAD UHC
—
01
—
A73929
HEALTH ALLIANCE PLAN
—
Enumeration date
04/29/2008
Last updated
01/26/2011
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