Organization
OPDYKE DIAGNOSTIC CENTER PLC
Active
Parent organization
OPDYKE DIAGNOSTIC CENTER PLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OPDYKE DIAGNOSTIC CENTER PLC
Authorized official
DR. MATTHEW KULICK D.O. (PRESIDENT/OWNER)
(248) 333-2600
Entity
Organization
Contact information
Practice address
10740 DIXIE HWY, DAVISBURG, MI 48350-1123
(248) 625-7007
(248) 625-0314
Mailing address
719 S OPDYKE RD, AUBURN HILLS, MI 48326-3436
(248) 874-4908
(248) 874-4370
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700F339930
BCBSM
MI
Enumeration date
03/28/2009
Last updated
03/28/2009
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