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Andrea Andrzejczak Ph.d.
Point of Service in Grosse Pointe Woods, Michigan
NPI 1841436201

Andrea Andrzejczak Ph.d. is a Point of Service based in Grosse Pointe Woods, MI. Andrea Andrzejczak Ph.d. practices in Grosse Pointe Woods, MI. The NPI Number for Andrea Andrzejczak Ph.d. is 1841436201 and holds a License No. 6301009783 (Michigan).

The current practice location address for Andrea Andrzejczak Ph.d. is 20867 Mack Ave, Grosse Pointe Woods, MI and can be reached out via phone at 313-885-8350 and via fax at 313-885-8357.

Location: 20867 Mack Ave, Grosse Pointe Woods, MI, 48236-1392
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841436201
Provider Name
Andrea Andrzejczak Ph.d.
Credential
Provider Entity Type
Organization
Address
20867 Mack Ave, Grosse Pointe Woods, MI, 48236-1392
Phone Number
313-885-8350
Fax Number
313-885-8357
Provider Enumeration Date
01/06/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6301009783 01 MI LICENSE NUMBER
1568520559 01 NPI
1B 680H230320 01 MI BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
20867 Mack Ave
City
Grosse Pointe Woods
State
Michigan
Zip
48236-1392
Phone Number
313-885-8350
Fax Number
313-885-8357
person
Provider Business Mailing Address Details
Address
20867 Mack Ave
City
Grosse Pointe Woods
State
Michigan
Zip
48236-1392
Phone Number
313-885-8350
Fax Number
313-885-8357
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
6301009783 (Michigan)
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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