Duzak, Kathleen Helen

Duzak, Kathleen Helen is an individual health care provider with primary practice located at 1770 Woodgrove Ln , Bloomfield Hills MI 48302-2673. She recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Duzak, Kathleen Helen can be contacted via phone (734) 421-7400.

Contact Information

Primary practice address
1770 Woodgrove Ln Bloomfield Hills MI 48302-2673
Phone: (734) 421-7400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X KD1082 Michigan
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X KD1082 Michigan
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 5901001082 Michigan

Profile Details

NPI number 1861512618
LBN Legal business name Duzak, Kathleen Helen
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Sep 29th, 2022 - about 2 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 1861512618 NPPES
Michigan MEDICAID 2122782
Michigan Other 1659512549
Michigan Other 1861512618
Michigan Other 4858250820
Michigan Other 11275386
Michigan Other 4858250820

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