Cieslak, Richard

Cieslak, Richard is an individual health care provider with primary practice located at 19401 Hubbard Drive Suite 207 Henry Ford Health System, Dearborn MI 48126. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Cieslak, Richard can be contacted via phone (313) 982-8261.

Contact Information

Primary practice address
19401 Hubbard Drive Suite 207 Henry Ford Health System Dearborn MI 48126
Fax: (313) 982-8205
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 43010161508 Michigan
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 43010161508 Michigan

Profile Details

NPI number 1366479040
LBN Legal business name Cieslak, Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Mar 14th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366479040 NPPES
Other RC061508 CHAMPUS-CHAMPUS
MEDICAID 2378930 CHAMPUS-CHAMPUS
Other RC061508 CHAMPUS-CHAMPUS

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