Provider Demographics
NPI:1013988773
Name:PRZYBYLSKI, ALBERT ANTHONY (DO)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:ANTHONY
Last Name:PRZYBYLSKI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36549 HARPER AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:CLINTON TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48035-2012
Mailing Address - Country:US
Mailing Address - Phone:586-791-3150
Mailing Address - Fax:586-791-0409
Practice Address - Street 1:36549 HARPER AVE
Practice Address - Street 2:SUITE B
Practice Address - City:CLINTON TWP
Practice Address - State:MI
Practice Address - Zip Code:48035-2012
Practice Address - Country:US
Practice Address - Phone:586-791-3150
Practice Address - Fax:586-791-0409
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101011659207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI00001587737 02OtherUNITED HEALTH CARE
MI4361360Medicaid
MIC5580OtherMCARE
MI080176317OtherMEDICARE RAILROAD
MI21136802806OtherBEECH STREET
MI21676OtherDMC CARE
MI855000804OtherBCBS
MIG13996Medicare UPIN
MI855000804OtherBCBS