| Dr Alex Logan Gornitzky, MD | |
|
1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | |
| (734) 936-4000 | |
| Not Available |
| Full Name | Dr Alex Logan Gornitzky |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 1500 E Medical Center Dr, Ann Arbor, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487016739 | NPI | - | NPPES |
| MT222132 | Other | PA | PA MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 4301507007 (Michigan) | Primary |
| 207XP3100X | Orthopaedic Surgery - Pediatric Orthopaedic Surgery | MT222132 (Pennsylvania) | Secondary |
| Entity Name | Regents Of The University Of Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457384067 PECOS PAC ID: 3779496856 Enrollment ID: O20031118000618 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alex Logan Gornitzky, MD 3621 S State St, Ann Arbor, MI 48108-1633 Ph: (734) 647-5299 | Dr Alex Logan Gornitzky, MD 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 Ph: (734) 936-4000 |
John David Blaha, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 24 Frank Lloyd Wright Dr, Lobby A, Ann Arbor, MI 48105 Phone: 734-930-7400 | |
Elizabeth Ann Dailey, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000 | |
Davin Gong, Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr Spc 5328, Ann Arbor, MI 48109 Phone: 734-232-9432 | |
Kempland Walley, Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1500 E Medical Center Dr Spc 5328, Ann Arbor, MI 48109 Phone: 734-232-9432 | |
Vandan Dilip Patel, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2098 S Main St, Ann Arbor, MI 48103 Phone: 734-936-5780 | |
Colin Whitaker, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr Spc 5328, Ann Arbor, MI 48109 Phone: 734-232-9432 | |
Dr. Daniel Rives Bowles, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4320 |