Organization
ANDREW J. MADAK, D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW JOHN MADAK D.O. (PRESIDENT)
(248) 601-5780
Entity
Organization
Contact information
Practice address
455 S LIVERNOIS RD, C-22, ROCHESTER HILLS, MI 48307-2578
(248) 601-5780
(248) 605-8786
Mailing address
455 S LIVERNOIS RD, C-22, ROCHESTER HILLS, MI 48307-2578
(248) 601-5780
(248) 605-8786
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
510102535
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56304394
BCBSM
MI
Enumeration date
04/28/2008
Last updated
12/22/2009
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