| Geoffrey Prysak Md Pllc | |
|
3601 W 13 Mile Rd Royal Oak MI 48073-6712 | |
| (248) 808-5000 | |
| Not Available |
| Full Name | Geoffrey Prysak Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3601 W 13 Mile Rd, Royal Oak, Michigan |
| Authorized Official Name and Position | Geoffrey Prysak (PRESIDENT) |
| Authorized Official Contact | 3135306369 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geoffrey Prysak Md Pllc 333 Mcmillan Rd Grosse Pointe Farms MI 48236-3417 Ph: (313) 530-6369 | Geoffrey Prysak Md Pllc 3601 W 13 Mile Rd Royal Oak MI 48073-6712 Ph: (248) 808-5000 |
| NPI Number | 1841098530 |
|---|---|
| Provider Enumeration Date | 03/06/2025 |
| Last Update Date | 03/06/2025 |
| Medicare PECOS PAC ID | 2668994823 |
|---|---|
| Medicare Enrollment ID | O20250317002941 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841098530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Geoffrey Michael Prysak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013147511 PECOS PAC ID: 2365608064 Enrollment ID: I20120725000152 |
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