| Krzysztof Mlak, Md,pc | |
|
1525 University Dr Auburn Hills MI 48326-2673 | |
| (810) 794-7750 | |
| (844) 269-7554 |
| Full Name | Krzysztof Mlak, Md,pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1525 University Dr, Auburn Hills, Michigan |
| Authorized Official Name and Position | Krzysztof Mlak (OWNER) |
| Authorized Official Contact | 5868386893 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Krzysztof Mlak, Md,pc 200 River Place Dr Apt 24 Detroit MI 48207-4400 Ph: (586) 838-6893 | Krzysztof Mlak, Md,pc 1525 University Dr Auburn Hills MI 48326-2673 Ph: (810) 794-7750 |
| NPI Number | 1891248225 |
|---|---|
| Provider Enumeration Date | 08/02/2016 |
| Last Update Date | 08/02/2016 |
| Medicare PECOS PAC ID | 9335410463 |
|---|---|
| Medicare Enrollment ID | O20170807003420 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891248225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 43010906694 (Michigan) | Primary |
| Provider Name | Krzysztof Mlak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689838476 PECOS PAC ID: 7416126602 Enrollment ID: I20110804000041 |
| Provider Name | Jemila A Ali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417626771 PECOS PAC ID: 1254719958 Enrollment ID: I20220609000215 |
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