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Organization

MAREK LUTRZYKOWSKI MD, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MAREK LUTRZYKOWSKI MD (PRESIDENT)
(248) 322-1543
Entity
Organization

Contact information

Practice address
10 W SQUARE LAKE RD STE 200, BLOOMFIELD HILLS, MI 48302-0467
(248) 322-1543
(248) 322-1547
Mailing address
10 W SQUARE LAKE RD STE 200, BLOOMFIELD HILLS, MI 48302-0467
(248) 322-1543
(248) 322-1547

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
060452
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0631427
BCBSM
MI
01
5647404
AETNA
MI
Enumeration date
02/05/2007
Last updated
04/10/2008
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