Dr MICHAEL J CICHOWLAS DO is a male medical professional, specializing in Family Medicine. He graduated in 1993 from Michigan State University College Of Human Medicine.
ST JOHN PROVIDENCE PHYSICIANS CMG
43900 GARFIELD RD
SUITE 222
CLINTON TOWNSHIP
MI
480381137
Tel: 5862860050
| Npi | 1922014091 |
| Pac Id | 6103875828 |
| Professional Enrollment Id | I20050120000231 |
| Last Name | CICHOWLAS |
| First Name | MICHAEL |
| Middle Name | J |
| Suffix | |
| Gender | M |
| Credential | DO |
| Medical School Name | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | GENERAL PRACTICE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | GENERAL PRACTICE |
| Organization Legal Name | ST JOHN PROVIDENCE PHYSICIANS CMG |
| Group Practice Pac Id | 7517162761 |
| Number Of Group Practice Members | 62 |
| Line 1 Street Address | 43900 GARFIELD RD |
| Line 2 Street Address | SUITE 222 |
| Marker Of Address Line 2 Suppression | |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip Code | 480381137 |
| Phone Number | 5862860050 |
| Hospital Affiliation Ccn 1 | 230165 |
| Hospital Affiliation Lbn 1 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 230227 |
| Hospital Affiliation Lbn 2 | MCLAREN MACOMB |
| Hospital Affiliation Ccn 3 | 230195 |
| Hospital Affiliation Lbn 3 | ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER |
| Hospital Affiliation Ccn 4 | 230269 |
| Hospital Affiliation Lbn 4 | BEAUMONT HOSPITAL, TROY |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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