Kraklau, David M

Kraklau, David M is an individual health care provider with primary practice located at 815 Saint Joseph Dr , Saint Joseph MI 49085-2529. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Kraklau, David M can be contacted via phone (269) 983-3455.

Contact Information

Primary practice address
815 Saint Joseph Dr Saint Joseph MI 49085-2529
Phone: (269) 983-3455
Fax: (269) 983-3455
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 4301064003 Michigan

Profile Details

NPI number 1033546122
LBN Legal business name Kraklau, David M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2013
Last updated Sep 5th, 2014 - about 11 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 1033546122 NPPES
Michigan MEDICAID 1033546122

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