Provider Demographics
NPI:1396914024
Name:BUDZYNSKA, KATARZYNA (MD)
Entity type:Individual
Prefix:DR
First Name:KATARZYNA
Middle Name:
Last Name:BUDZYNSKA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KATARZYNA
Other - Middle Name:
Other - Last Name:BREMMEYR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3370 E JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48207-4236
Mailing Address - Country:US
Mailing Address - Phone:313-656-1600
Mailing Address - Fax:313-656-1610
Practice Address - Street 1:3370 E JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48207-4236
Practice Address - Country:US
Practice Address - Phone:313-656-1600
Practice Address - Fax:313-656-1610
Is Sole Proprietor?:No
Enumeration Date:2008-02-27
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA243665207Q00000X
MI4301090358207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110088171AMedicaid
MA110088171AMedicaid