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1700884814

Everything you always wanted to know about MAUREEN A KELLY MD PLLC 3 BLOOMFIELD PEDIATRIC CARE DR. KELLY MAUREEN but were afraid to ask.

MAUREEN A KELLY MD PLLC 3 BLOOMFIELD PEDIATRIC CARE DR. KELLY MAUREEN

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Organization Name Other Organization Name Type Code Other Organization Name Authorized Official Prefix Authorized Official Last Name Authorized Official First Name
MAUREEN A KELLY MD PLLC 3 BLOOMFIELD PEDIATRIC CARE DR. KELLY MAUREEN
Gender:
none
Enumeration date:
2005-07-12
Last update date:
2010-06-24
Current as of:
2007-08-28
Is sole proprietor?:
Not Answered
Is organization subpart?:
No
In PECOS?:
No

Identifiers

identifier description issuer state active
350F302120 Other BCN GROUP MI 1
104183802 Medicaid none MI 1
1015775 Other HEALTH ADVANTAGE MI 1
350F302120 Other BC GROUP MI 1
1700884814 Medicaid none MI 1

Taxonomies

Taxonomy State License Number Primary?
2080A0000X Adolescent Medicine MI 4301056543

Phone Numbers

Type Number
Mailing Address Telephone Number 2484510600
Practice Location Address Telephone Number 2484510600
Authorized Official Telephone Number 2484510600
Mailing Address Fax Number 2484510700
Practice Location Address Fax Number 2484510700

Addresses

Type Address City State Postal Country
Mailing Address PO BOX 44047 DETROIT MI 48244 MI
Practice Location Address 43205 WOODWARD AVE BLOOMFIELD HILLS MI 0 MI

Other NPI Records that share a phone number

NPI Name Address State City
1174521538 RAO, SHEILA
Individual		 43205 WOODWARD AVE MI BLOOMFIELD HILLS
1295743920 FOX, IAN
Individual		 43205 WOODWARD AVE MI BLOOMFIELD HILLS
1437157955 EARLES, SONJA
Individual		 43205 WOODWARD AVE MI BLOOMFIELD HILLS
1609874064 KELLY, MAUREEN
Individual		 43205 WOODWARD AVE MI BLOOMFIELD HILLS
1952389561 SCHWARZ-WARNER, LAURA
Individual		 43205 WOODWARD AVE MI BLOOMFIELD HILLS

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NPI Name Address State City
1013908532 MOSBY, GERARD
Individual		 10201 E JEFFERSON AVE MI DETROIT
1023106507 MORREALE, VITTORIO
Individual		 22201 MOROSS RD MI DETROIT
1023116068 LUCAS, STEPHENIE
Individual		 22631 GREATER MACK AVE MI SAINT CLAIR SHORES
1043234859 LOURIE, IRA
Individual		 28220 FRANKLIN RD MI SOUTHFIELD
1053492983 GREENFIELD FAMILY PRACTICE CEN
Organization		 19141 GREENFIELD RD MI DETROIT
1083659932 CENTER FOR EAR,NOSE AND THROAT
Organization		 3950 S ROCHESTER RD MI ROCHESTER HILLS
1093798001 BEASECKER, SCOTT
Individual		 506 N FRANKLIN ST MI FRANKENMUTH
1093899569 BADDIGAM FAMILY PSYCHIATRIC
Organization		 43211 DALCOMA DR MI CLINTON TOWNSHIP
1114979515 AWADA, MARIAM
Individual		 30603 SOUTHFIELD RD MI SOUTHFIELD
1124196654 PRIHAR, BETTY
Individual		 6001 W OUTER DR MI DETROIT
1154360378 CHARDOUL, EUGENE
Individual		 3499 S LINDEN RD MI FLINT
1174521538 RAO, SHEILA
Individual		 43205 WOODWARD AVE MI BLOOMFIELD HILLS
1194760280 NORTHWEST CRITICAL CARE SURGEO
Organization		 27209 LAHSER RD MI SOUTHFIELD
1194852798 ONCOLOGY ASSOCIATES PC
Organization		 21751 W 11 MILE RD MI SOUTHFIELD
1245269125 BRENDA ROGERS GRAYS DO PC
Organization		 1134 S LINDEN RD MI FLINT
1245375468 DAVID R DRASNIN, PH.D. P.C.
Organization		 43996 WOODWARD AVE MI BLOOMFIELD HILLS
1245574920 GI HEALTH & WELLNES PC
Organization		 27500 HOOVER RD MI WARREN
1255512943 LAKSHMI KAZA MD PC
Organization		 30055 NORTHWESTERN HWY MI FARMINGTON HILLS
1255617189 SCOTT E BEASECKER MD PLLC
Organization		 506 N FRANKLIN ST MI FRANKENMUTH
1275552655 ADELEYE, ANTHONY
Individual		 20905 GREENFIELD RD MI SOUTHFIELD
1295743920 FOX, IAN
Individual		 43205 WOODWARD AVE MI BLOOMFIELD HILLS
1316119498 MHSDD, PC
Organization		 33000 ANNAPOLIS ST MI WAYNE
1316924459 TREECE, NANCY
Individual		 10201 E JEFFERSON AVE MI DETROIT
1326107632 NAILA AHMAD MD PLC
Organization		 6744 HIGHLAND RD MI WATERFORD
1346288750 DEOGUN, KULDIP
Individual		 43145 SCHOENHERR RD MI STERLING HEIGHTS
1356303093 RAIJI, TUSHAR
Individual		 6203 COVERED WAGONS TRL MI FLINT
1356445522 AL-AHMAD, LAMIS
Individual		 50505 SCHOENHERR RD MI SHELBY TOWNSHIP
1386643013 MAHMOOD, ALI
Individual		 13031 CONANT ST MI DETROIT
1386645299 BADDIGAM, BASIVI
Individual		 43211 DALCOMA DR MI CLINTON TWP
1386672558 DRASNIN, DAVID
Individual		 43996 WOODWARD AVE MI BLOOMFIELD HILLS
1386949923 DONALD J HARDMAN MD PC
Organization		 3499 S LINDEN RD MI FLINT
1417121252 DETROIT RIVERVIEW PEDIATRICS P
Organization		 10201 E JEFFERSON AVE MI DETROIT
1427127398 ALAN P. GOLDBERG, M.D., P.C.
Organization		 1284 S LINDEN RD MI FLINT
1427372192 FRED WURSTER DO PC
Organization		 1245 N MAIN ST MI LAPEER
1437157955 EARLES, SONJA
Individual		 43205 WOODWARD AVE MI BLOOMFIELD HILLS
1518263102 DUANE A ROWLEY JR DPM PC
Organization		 3273 DAVISON RD MI LAPEER
1528000502 BUCK, JOSEPH
Individual		 27209 LAHSER RD MI SOUTHFIELD
1548207467 KULDIP S. DEOGUN, MD, PC
Organization		 43145 SCHOENHERR RD MI STERLING HEIGHTS
1558439141 EXCLUSIVE PHYSICIANS GROUP, PL
Organization		 911 E 9 MILE RD MI FERNDALE
1558684787 SHELBY MACOMB PEDIATRICS P C
Organization		 50505 SCHOENHERR RD MI SHELBY TOWNSHIP
1568449585 WATTS, RUTH
Individual		 10201 E JEFFERSON AVE MI DETROIT
1588874960 SURINDER MENDIRATTA PLLC
Organization		 20905 GREENFIELD RD MI SOUTHFIELD
1609874064 KELLY, MAUREEN
Individual		 43205 WOODWARD AVE MI BLOOMFIELD HILLS
1629220231 TUSHAR N RAIJI MD PC
Organization		 6203 COVERED WAGONS TRL MI FLINT
1639318892 DONALD J HARDMAN MD PC
Organization		 3499 S LINDEN RD MI FLINT
1649441593 ABUL H M SHAMSUDDOHA
Organization		 1135 W UNIVERSITY DR MI ROCHESTER
1659364974 DODMAN, MICHELE
Individual		 27500 HOOVER RD MI WARREN
1659370724 ABBOTT MEDICAL GROUP PLLC
Organization		 19830 JAMES COUZENS FWY MI DETROIT
1740235126 STURM, RANDALL
Individual		 1284 S LINDEN RD MI FLINT
1740289487 ABBOTT, VALERIE
Individual		 19830 JAMES COUZENS FWY MI DETROIT
1770641078 AHMAD, NAILA
Individual		 6744 HIGHLAND RD MI WATERFORD
1780622332 LEGALLEY, CATHERINE
Individual		 1 WILLIAM CARLS DR MI COMMERCE TOWNSHIP
1801820881 NORTHWEST TRAUMA AND CRITICAL
Organization		 6071 W OUTER DR MI DETROIT
1821079666 WURSTER, FRED
Individual		 1245 N MAIN ST MI LAPEER
1841226131 SCOTT BEASECKER MD PLLC
Organization		 506 N FRANKLIN ST MI FRANKENMUTH
1851554497 REGIONAL TRAUMA CARE PC
Organization		 1000 HARRINGTON ST MI MOUNT CLEMENS
1891876793 ALRAWI, MUHSIN
Individual		 19141 GREENFIELD RD MI DETROIT
1942305263 RANDALL H STURM MD PLLC
Organization		 1284 S LINDEN RD MI FLINT
1952302861 BADDIGAM, PRAMEELA
Individual		 43211 DALCOMA DR MI CLINTON TWP
1952389561 SCHWARZ-WARNER, LAURA
Individual		 43205 WOODWARD AVE MI BLOOMFIELD HILLS