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:
Health care specialties
| Specialty | Code | License # | 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 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033546122 | NPPES |
| Michigan | MEDICAID | 1033546122 |
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