| Dr Mazen Samir Harake, MD | |
|
1050 Wilshire Dr Ste 100, Troy, MI 48084-1526 | |
| (773) 230-5000 | |
| (248) 825-3214 |
| Full Name | Dr Mazen Samir Harake |
|---|---|
| Gender | Male |
| Speciality | Plastic Surgery |
| Location | 1050 Wilshire Dr Ste 100, 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 |
|---|---|---|---|
| 1699986760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 35123751 (Ohio) | Primary |
| Entity Name | North East Ohio Group Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063575462 PECOS PAC ID: 8426960618 Enrollment ID: O20031105000352 |
| Entity Name | Robinson Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083045504 PECOS PAC ID: 9739318635 Enrollment ID: O20140218000724 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mazen Samir Harake, MD 1050 Wilshire Dr Ste 100, Troy, MI 48084-1526 Ph: (773) 230-5000 | Dr Mazen Samir Harake, MD 1050 Wilshire Dr Ste 100, Troy, MI 48084-1526 Ph: (773) 230-5000 |
Jefrey Ralph-alan Fishman, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1777 Axtell, Suite 109, Troy, MI 48084 Phone: 248-643-7374 Fax: 248-643-4715 | |
Dr. Anthony Sungjin Youn, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 755 W Big Beaver Rd, Suite 1200, Troy, MI 48084 Phone: 248-273-7700 Fax: 248-273-7701 | |
Dr. Andrew K Gavagan, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1080 Kirts Blvd, Suite 700, Troy, MI 48084 Phone: 248-369-9300 Fax: 248-362-5272 | |
Michael J Busuito, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1080 Kirts Blvd, Suite 700, Troy, MI 48084 Phone: 248-362-2300 Fax: 248-362-5272 | |
Dr. William A Stefani, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 85 E Big Beaver Rd, Troy, MI 48083 Phone: 586-779-3030 Fax: 586-779-6733 | |
George S Miguel, D.O. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 85 E Big Beaver Rd, Troy, MI 48083 Phone: 586-779-3030 | |
Sarah M Elswick, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 201 W Big Beaver Rd Ste 1130, Troy, MI 48084 Phone: 248-524-0620 Fax: 248-524-0934 |