Dr Michal Wojciech Wiercigroch, DPT | |
2835 Orchard Lake Rd, Keego Harbor, MI 48320-1448 | |
(248) 377-8220 | |
(248) 341-1219 |
Full Name | Dr Michal Wojciech Wiercigroch |
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Gender | Male |
Speciality | Physical Therapist |
Location | 2835 Orchard Lake Rd, Keego Harbor, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104083880 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501013770 (Michigan) | Primary |
Provider Name | Ivyrehab Michigan Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245 |
Mailing Address | Practice Location Address |
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Dr Michal Wojciech Wiercigroch, DPT Po Box 412031, Boston, MA 02241-2031 Ph: (914) 294-4050 | Dr Michal Wojciech Wiercigroch, DPT 2835 Orchard Lake Rd, Keego Harbor, MI 48320-1448 Ph: (248) 377-8220 |
Dr. Brett Austin Birnbaum, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2705 Orchard Lake Rd, Keego Harbor, MI 48320 Phone: 734-772-1064 | |
Mrs. Deborah Susan Alexander, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2700 Orchard Lake Rd, Keego Harbor, MI 48320 Phone: 248-683-0185 Fax: 248-683-5692 | |
Mrs. Jane Ann Carvell, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2700 Orchard Lake Rd, Keego Harbor, MI 48320 Phone: 248-683-0185 Fax: 248-683-5692 | |
Tracy Graham, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2141 Cass Lake Rd Ste 105, Keego Harbor, MI 48320 Phone: 248-388-1362 | |
Mariola Beata Vanderest, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2141 Cass Lake Rd, Suite 107, Keego Harbor, MI 48320 Phone: 248-706-1308 Fax: 248-706-1049 | |
Kelsey Marie Mcnutt, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2700 Orchard Lake Rd, Keego Harbor, MI 48320 Phone: 248-683-0185 Fax: 248-683-5692 |