Korytowsky, Walter Gregory

Korytowsky, Walter Gregory is an sole proprietor health care provider with primary practice located at 3333 Spring Arbor Rd Suite 400, Jackson MI 49203-8605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Korytowsky, Walter Gregory can be contacted via phone (517) 783-6435.

Contact Information

Primary practice address
3333 Spring Arbor Rd Suite 400 Jackson MI 49203-8605
Phone: (517) 783-6435
Fax: (517) 783-6347
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 4301040841 Michigan

Profile Details

NPI number 1043325632
LBN Legal business name Korytowsky, Walter Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2006
Last updated Oct 11th, 2011 - about 13 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 1043325632 NPPES
Michigan Other 0703800982 BLUE CROSS BLUE SHIELD MI
Michigan Other P58275 BLUE CROSS BLUE SHIELD MI
Michigan Other 0320049 BLUE CROSS BLUE SHIELD MI
Michigan MEDICAID 1570689 BLUE CROSS BLUE SHIELD MI
Michigan Other 4301040841 BLUE CROSS BLUE SHIELD MI

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