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Organization

PULMONARY & CRITICAL CARE SPECIALISTS, P.C.

Active
Parent organization
PULMONARY & CRITICAL CARE SPECIALISTS, P.C.
Other names
Novi Sleep & Diagnostic Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
PULMONARY & CRITICAL CARE SPECIALISTS, P.C.
Authorized official
DEBRA RAKOWSKI RN, BSN, CPC, CCP-P (ADMINISTRATOR)
(248) 449-4864
Entity
Organization

Contact information

Practice address
39650 ORCHARD HILL PL, STE. 100, NOVI, MI 48375-5391
(248) 449-7010
(248) 449-7015
Mailing address
39650 ORCHARD HILL PL, STE. 100, NOVI, MI 48375-5391
(248) 449-7010
(248) 449-7015

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
207RP1001X
Pulmonary Disease Physician
Primary
207RS0012X
Sleep Medicine (Internal Medicine) Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
290F316830
BLUE SHIELD GROUP PIN
MI
Enumeration date
11/29/2006
Last updated
05/20/2010
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