Marek Lutrzykowski MD, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

060452 Issued in MI

Legal business name

MAREK LUTRZYKOWSKI MD, PC

Practice address

10 W Square Lake Rd Ste 200
Bloomfield Hills, MI 48302-0467

Phone

(248) 322-1543

Fax

(248) 322-1547

NPI assigned

Feb 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marek Lutrzykowski, MD

Title

President

Phone

(248) 322-1543

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1902945280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W SQUARE LAKE RD STE 200",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020467",
            "telephone_number": "248-322-1543",
            "fax_number": "248-322-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W SQUARE LAKE RD STE 200",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020467",
            "telephone_number": "248-322-1543",
            "fax_number": "248-322-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAREK LUTRZYKOWSKI MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "LUTRZYKOWSKI",
        "authorized_official_first_name": "MAREK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-322-1543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "060452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0631427",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5647404",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faiz Mansour, M.D.
• Yasser Mansour
• Maple Orthodontics, PLLC
• Carlo A Marceau, PA
• Sruti March, ND
• Katelyn Ann Margarida, M.S., CCC-SLP
• Marigold Mental Health LLC
• Maristella Evangelista, MD, PC
• Mark L. Nelson, MD, PHD, PC
• Marije Markaj, NP

• Specialist in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.