Provider Demographics
NPI:1174698831
Name:FILEK, DEBBIE JANE (MD)
Entity type:Individual
Prefix:
First Name:DEBBIE
Middle Name:JANE
Last Name:FILEK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 S LINCOLN
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48708
Mailing Address - Country:US
Mailing Address - Phone:989-895-9876
Mailing Address - Fax:989-895-9780
Practice Address - Street 1:701 S LINCOLN
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48708
Practice Address - Country:US
Practice Address - Phone:989-895-9876
Practice Address - Fax:989-895-9780
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIDF0646612080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
3500919191OtherBCBSM PIN#
350Z91036OtherBCBSM GR#
350Z91036OtherBCBSM FEP
1007806OtherMCLAREN HEALTH ADVANTAGE
350Z96302OtherHEALTH PLUS OF MICHIGAN &
G04565OtherBCN
3379646OtherMOLINA
MI3379646Medicaid
MI3379646Medicaid