| Andrew Stephen Ciennik, MD | |
|
44201 Dequindre Rd, Troy, MI 48085-1117 | |
| (248) 964-5000 | |
| Not Available |
| Full Name | Andrew Stephen Ciennik |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 44201 Dequindre Rd, Troy, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700383098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A165140 (California) | Secondary |
| 207P00000X | Emergency Medicine | 4301514129 (Michigan) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458 |
| Entity Name | Pacific Emergency Providers A Prof Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497790539 PECOS PAC ID: 1557327608 Enrollment ID: O20041209000658 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Stephen Ciennik, MD 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: () - | Andrew Stephen Ciennik, MD 44201 Dequindre Rd, Troy, MI 48085-1117 Ph: (248) 964-5000 |
David Donaldson, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 44201 Dequindre Rd, Ec, Troy, MI 48085 Phone: 248-964-8787 | |
Philip O Kilanowski-doroh, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 44201 Dequindre Rd, Troy, MI 48085 Phone: 248-964-5111 | |
Dr. Christopher S Seitz, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 755 W Big Beaver Rd Ste 400, Troy, MI 48084 Phone: 248-898-2001 | |
Matthew Christensen, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 44201 Dequindre Rd Ste Ec, Troy, MI 48085 Phone: 248-964-5111 | |
Rebecca Gorz, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 44201 Dequindre Rd, Troy, MI 48085 Phone: 248-964-5111 | |
Cristina Geneva Bruno, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 44201 Dequindre Rd, Troy, MI 48085 Phone: 248-964-5000 | |
Adam Sylvester Kur Iii, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 44201 Dequindre Rd, Ec, Troy, MI 48085 Phone: 248-964-5000 |