| Kellie Wendzinski, DO | |
| 15200 Kercheval Ave, Grosse Pointe Park, MI 48230-1356 | |
| (947) 519-6700 | |
| Not Available | 
| Full Name | Kellie Wendzinski | 
|---|---|
| Gender | Female | 
| Speciality | Family Medicine | 
| Location | 15200 Kercheval Ave, Grosse Pointe Park, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1710500640 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101027350 (Michigan) | Primary | 
| 390200000X | Student In An Organized Health Care Education/training Program | (Michigan) | Secondary | 
| Entity Name | Oakwood Ambulatory Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1003829441 PECOS PAC ID: 1850282914 Enrollment ID: O20040320000401 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kellie Wendzinski, DO 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: () - | Kellie Wendzinski, DO 15200 Kercheval Ave, Grosse Pointe Park, MI 48230-1356 Ph: (947) 519-6700 | 
| Claudia Kirk, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 15120 Kercheval Ave, Grosse Pointe Park, MI 48230 Phone: 313-469-8281 Fax: 313-458-8864 | |
| Peter J. Rodin, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 15200 Kercheval Ave, Grosse Pointe Park, MI 48230 Phone: 313-417-6100 Fax: 313-417-6107 | |
| Mrs. Robina Ijaz Sial, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15200 Kercheval Ave, Grosse Pointe Park, MI 48230 Phone: 313-417-6100 | |
| Dr. Lindsay Marie Smith, MD MPH Family Medicine Medicare: Medicare Enrolled Practice Location: 15200 Kercheval Ave, Grosse Pointe Park, MI 48230 Phone: 947-519-6700 Fax: 947-519-6701 | |
| Lawrence Pan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 15200 Kercheval Ave, Grosse Pointe Park, MI 48230 Phone: 313-417-6100 Fax: 313-417-6107 | |
| Dr. Phyllis Torres Bessette, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 711 Balfour, Grosse Pointe Park, MI 48230 Phone: 313-823-6447 |