Sylwestrzak, Mary Sue J

Sylwestrzak, Mary Sue J is an individual health care provider with primary practice located at 33200 W 14 Mile Rd Ste 130, West Bloomfield MI 48322-3549. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Sylwestrzak, Mary Sue J can be contacted via phone (248) 855-4144.

Contact Information

Primary practice address
33200 W 14 Mile Rd Ste 130 West Bloomfield MI 48322-3549
Phone: (248) 855-4144
Fax: (248) 855-9158
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301053077 Michigan

Profile Details

NPI number 1124001177
LBN Legal business name Sylwestrzak, Mary Sue J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Jun 3rd, 2008 - about 16 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 1124001177 NPPES
Michigan MEDICAID 2886572
Michigan Other 3506337132
Michigan Other F28229

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