Mark Robert Kurzawa (NPI# 1265482095, PAC ID# 2163444290) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1265482095 |
| PAC ID by PECOS | 2163444290 |
| Professional Enrollment ID | I20060103000605 |
| Full Name | Mark Robert Kurzawa |
| Organization Legal Name | ST JOHN PROVIDENCE PHYSICIANS CMG |
| Address |
36367 Harper Ave Clinton Township MI 48035-2958 |
| Phone Number | 5867916868 |
| Gender | M |
| Credential | MD |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | GERIATRIC MEDICINE |
| Group Practice PAC ID | 7517162761 |
| Number of Group Practice Members | 63 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 230195 | ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER |
| 230047 | HENRY FORD MACOMB HOSPITAL |
| 230227 | MCLAREN MACOMB |
| Address | Phone | Organization |
|---|---|---|
| 36367 Harper Ave, Clinton Township, MI 48035-2958 | 5867916868 | ST JOHN PROVIDENCE PHYSICIANS CMG |
| Organization Legal Name | ST JOHN PROVIDENCE PHYSICIANS CMG |
| Physicians | 70 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William M Jacobs | Family Medicine | St John Providence Physicians Cmg | 13951 Plumbrook Rd, Sterling Heights, MI 48312-1727 |
| Jennifer L Carlton | Family Medicine | St John Providence Physicians Cmg | 64580 Van Dyke Rd, Suite C, Washington, MI 48095-2811 |
| Nikolas Dimovski | Family Medicine | St John Providence Physicians Cmg | 15055 22 Mile Rd, Suite 3, Shelby Twp, MI 48315-4401 |
| Barbara C Tess | Family Medicine | St John Providence Physicians Cmg | 20225 E 9 Mile Rd A, Cornerstone Pointe Family Physicians, St Clair Shores, MI 48080-1775 |
| Timothy J Blanchet | Family Medicine | St John Providence Physicians Cmg | 4260 Van Dyke Rd, Suite 102, Almont, MI 48003-8546 |
| Jeffrey R Hayes | Family Medicine | St John Providence Physicians Cmg | 35050 23 Mile Rd, Suite B, New Baltimore, MI 48047-3606 |
| Mark J Dukaj | Internal Medicine | St John Providence Physicians Cmg | 45640 Schoenherr Rd, Shelby Township, MI 48315-6033 |
| Tanya L Ropes | Nurse Practitioner | St John Providence Physicians Cmg | 43900 Garfield Rd, Suite 222, Clinton Township, MI 48038-1137 |
| Mark Edward Holowinski | Family Medicine | St John Providence Physicians Cmg | 19357 E Thirteen Mile Rd, Roseville Family Physicians, Roseville, MI 48066-5308 |
| Benjamin O Osowa | Internal Medicine | St John Providence Physicians Cmg | 18263 E 10 Mile Rd E, Associates In Internal Medicine Lakefront Internis, Roseville, MI 48066-5805 |
| Street Address |
36367 HARPER AVE |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip | 48035-2958 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nimmy Varughese | Physical Therapy | The Weston Group Inc | 36725 Utica Rd, Clinton Township, MI 48035-1030 |
| Beth A Buchanan | Physical Therapy | The Weston Group Inc | 36725 Utica Rd, Clinton Township, MI 48035-1030 |
| Carolyn Kessler-sprott | Occupational Therapy | The Weston Group Inc | 36725 Utica Rd, Clinton Township, MI 48035-1030 |
| Mary G Shenouda | Occupational Therapy | The Weston Group Inc | 36725 Utica Rd, Clinton Township, MI 48035-1030 |
| Chakradhar C Reddy | Internal Medicine | 36232 Garfield Rd, Clinton Township, MI 48035-1128 | |
| Ghanshyam N Patel | Gastroenterology | 36232 Garfield Rd, Clinton Township, MI 48035-1128 | |
| Jagatbhai A Amin | Internal Medicine | 36232 Garfield Rd, Clinton Township, MI 48035-1128 | |
| Donna M Kelly | Chiropractic | 36410 Garfield Rd, Clinton Township, MI 48035-1131 | |
| Craig E Riffel | Chiropractic | 36620 Garfield Rd, Clinton Township, MI 48035-1134 | |
| Christopher Brioc | Chiropractic | 36620 Garfield Rd, Clinton Township, MI 48035-1134 | |
| Find all physicians in zip 48035 | |||
| City | CLINTON TOWNSHIP |
| Zip Code | 48035 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CLINTON TOWNSHIP + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mark Robert Kurzawa.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.