Organization
DAVID GUREVITCH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA MACIAG (MEDICAL BILLING MANAGER)
(248) 593-1717
Entity
Organization
Contact information
Practice address
32270 TELEGRAPH RD, SUITE 240, BINGHAM FARMS, MI 48025-2456
(248) 593-1717
(248) 593-1711
Mailing address
32270 TELEGRAPH RD, SUITE 240, BINGHAM FARMS, MI 48025-2456
(248) 593-1717
(248) 593-1711
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
DG046562
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0636115
BCBS
—
Enumeration date
02/12/2007
Last updated
03/18/2008
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