Individual
DR. ALICJA DORATA WASILEWSKI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2314 MONROE ST, DEARBORN, MI 48124-3045
(313) 562-6633
(313) 562-0880
Mailing address
1332 BALFOUR ST, GROSSE POINTE PARK, MI 48230-1022
(313) 640-7918
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5315005037
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260H218870
BLUE CROSS BLUE SHIELD
MI
Enumeration date
03/23/2006
Last updated
07/08/2007
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