| Emily Nowicki, MD | |
|
44405 Woodward Ave, Pontiac, MI 48341-5023 | |
| (242) 858-3000 | |
| Not Available |
| Full Name | Emily Nowicki |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 44405 Woodward Ave, Pontiac, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699201251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 125.069979 (Illinois) | Secondary |
| 208000000X | Pediatrics | 4301501602 (Michigan) | Primary |
| Entity Name | Sjmh Medical Practice-smhc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346284684 PECOS PAC ID: 8628965175 Enrollment ID: O20040301000770 |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Nowicki, MD 44405 Woodward Ave, Pontiac, MI 48341-5023 Ph: (242) 858-3000 | Emily Nowicki, MD 44405 Woodward Ave, Pontiac, MI 48341-5023 Ph: (242) 858-3000 |
Dr. Peter Alnajjar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 673 Martin Luther King Blvd., Pontiac, MI 48342 Phone: 248-334-0024 Fax: 248-334-0842 | |
Esam A. Kazem, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Henry Ford Health System, 44405 Woodward H-24, Pontiac, MI 48053 Phone: 248-858-3526 Fax: 248-858-3532 | |
Roy J Pullukat, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 44200 Woodward Ave, Suite 103, Pontiac, MI 48341 Phone: 248-253-9600 Fax: 248-253-0980 | |
Amy Lynn Martin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 44405 Woodward Ave, Neonatal/perinatal Medicine, Pontiac, MI 48341 Phone: 248-333-7162 | |
Gayatri Garg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 44405 Woodward Ave, Pontiac, MI 48341 Phone: 248-858-3400 Fax: 248-858-6232 | |
Robert Melvin Phillips Jr., MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 35 South Johnson Street, Suite 1b, Pontiac, MI 48341 Phone: 248-334-9542 Fax: 248-334-6792 |