| Martin Bloda, MD | |
|
34336 Harper Ave, Clinton Township, MI 48035-3704 | |
| (586) 791-9173 | |
| (586) 791-9393 |
| Full Name | Martin Bloda |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 34336 Harper Ave, Clinton Township, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629315353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 4301092346 (Michigan) | Primary |
| Entity Name | State Of Michigan Office Of Financial Management |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508883299 PECOS PAC ID: 5496650723 Enrollment ID: O20040114000603 |
| Mailing Address | Practice Location Address |
|---|---|
| Martin Bloda, MD 1576 Maryland Club Dr, Royal Oak, MI 48067-4501 Ph: (248) 670-4790 | Martin Bloda, MD 34336 Harper Ave, Clinton Township, MI 48035-3704 Ph: (586) 791-9173 |
Robert Douglas Kenewell, D.O. General Practice Medicare: Not Enrolled in Medicare Practice Location: 17610 Kingsbrooke Cir Apt 101, Clinton Township, MI 48038 Phone: 586-412-6906 | |
Shishir Senapati, MD PC General Practice Medicare: Medicare Enrolled Practice Location: 43211 Dalcoma Dr, #3, Clinton Township, MI 48038 Phone: 586-263-9355 Fax: 586-263-6835 | |
Dr. Jillian Diane Davis-baumann, D.O General Practice Medicare: Accepting Medicare Assignments Practice Location: 15855 Ninteen Miled Road, Emergency Dept, Clinton Township, MI 48038 Phone: 586-263-2601 Fax: 586-263-2589 |