Forms Patient Information

Thu,23May2013

* indicates a required field

Emergency Contact Information

Employer Information

Family Physician Information

Insurance Information

Hospitals

  • Genesys Regional
  • St. Joseph Mercy
  • Crittenton Hospital
  • North Oakland

Contact Information

Oakland Bariatrics
Dr. Marek Lutrzykowski, M.D.

Address: 10 W. Square Lake. Rd., Ste.200
Bloomfield Hills MI 48302
Phone: (248) 322-1543