Madak, Andrew J

Madak, Andrew J is an individual health care provider with primary practice located at 455 S Livernois Rd C-23, Rochester Hills MI 48307-2578. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Madak, Andrew J can be contacted via phone (248) 601-5780.

Contact Information

Primary practice address
455 S Livernois Rd C-23 Rochester Hills MI 48307-2578
Fax: (248) 601-5784
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5101012535 Michigan

Profile Details

NPI number 1588656755
LBN Legal business name Madak, Andrew J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Mar 13th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588656755 NPPES
Michigan Other 110229804 MEDICARE RAILROAD ID NUMB
Michigan Other 1156304394 MEDICARE RAILROAD ID NUMB
Michigan Other 383472352 MEDICARE RAILROAD ID NUMB

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