| Dr Brad A Stach, PHD | |
| 
					2799 W Grand Blvd, Division Of Audiology, K8, Detroit, MI 48202-2608  | |
| (313) 916-1089 | |
| (313) 916-1548 | 
| Full Name | Dr Brad A Stach | 
|---|---|
| Gender | Male | 
| Speciality | Audiologist | 
| Location | 2799 W Grand Blvd, Detroit, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1477674919 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 231H00000X | Audiologist | 1601000330 (Michigan) | Primary | 
| Provider Name | Henry Ford Health System | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1699851618 PECOS PAC ID: 0547178311 Enrollment ID: O20031111000455  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Brad A Stach, PHD 2799 W Grand Blvd, Division Of Audiology, K8, Detroit, MI 48202-2608 Ph: (313) 916-1089  | Dr Brad A Stach, PHD 2799 W Grand Blvd, Division Of Audiology, K8, Detroit, MI 48202-2608 Ph: (313) 916-1089  | 
Dr. Kristen P Peters, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3901 Beaubien, Detroit, MI 48201 Phone: 313-745-8903  | |
Mary Kassa, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, K8, Detroit, MI 48202 Phone: 313-916-1755  | |
Mrs. Karen A Piggott, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3901 Beaubien St, Detroit, MI 48201 Phone: 313-745-8903 Fax: 313-966-2694  | |
Dr. Mary Jo Burtka, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2799 West Grand Blvd., Audiology, K-8 Henry Ford Hospital, Detroit, MI 48202 Phone: 313-916-3283  | |
Dr. Angela Renee Lawfielf, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3901 Beaubien St, Detroit, MI 48201 Phone: 313-745-8903 Fax: 313-966-2694  | |
Karin Calviti,  Audiologist Medicare: Not Enrolled in Medicare Practice Location: 4160 John R St, Detroit, MI 48201 Phone: 313-966-9471  | |
Kassandra Fitzgerald,  Audiologist Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd # K8, Detroit, MI 48202 Phone: 313-916-1755  |