| Mariel Duchow, | |
|
2799 W Grand Blvd, Detroit, MI 48202-2608 | |
| (313) 916-8144 | |
| (313) 916-4460 |
| Full Name | Mariel Duchow |
|---|---|
| Gender | Female |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 5 Years |
| Location | 2799 W Grand Blvd, Detroit, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750030151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301517932 (Michigan) | Primary |
| 208M00000X | Hospitalist | 4301517932 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Harborview Medical Center | Seattle, WA | Hospital |
| University Of Washington Medical Ctr | Seattle, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Association Of University Physicians | 0446162697 | 3484 |
| Entity Name | The Association of University Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023041159 PECOS PAC ID: 0446162697 Enrollment ID: O20031105000244 |
| Mailing Address | Practice Location Address |
|---|---|
| Mariel Duchow, 1 Ford Pl Ste 3a, Detroit, MI 48202-3450 Ph: (800) 653-6568 | Mariel Duchow, 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: (313) 916-8144 |
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