Provider Demographics
NPI:1861490799
Name:LEMANSKI, DENNIS R (DO)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:R
Last Name:LEMANSKI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:23050 WEST RD STE 130
Mailing Address - Street 2:
Mailing Address - City:BROWNSTOWN TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48183-1473
Mailing Address - Country:US
Mailing Address - Phone:734-391-3057
Mailing Address - Fax:734-391-3052
Practice Address - Street 1:2070 BIDDLE AVE STE 2
Practice Address - Street 2:
Practice Address - City:WYANDOTTE
Practice Address - State:MI
Practice Address - Zip Code:48192-4080
Practice Address - Country:US
Practice Address - Phone:734-671-6741
Practice Address - Fax:734-671-1038
Is Sole Proprietor?:No
Enumeration Date:2005-07-13
Last Update Date:2021-03-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MIDL007049207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1841564788OtherGROUP NPI HENRY FORD WYANDOTTE
MI0H27501OtherBLUE CROSS
MI1841564788OtherGROUP NPI HENRY FORD WYANDOTTE
MIA76856Medicare UPIN