Kroll, David Walter
Kroll, David Walter is an individual health care provider with primary practice located at 20225 E 9 Mile Rd Suite A, Saint Clair Shores MI 48080-1775. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kroll, David Walter can be contacted via phone (586) 772-1090.Contact Information
Primary practice address
20225 E 9 Mile Rd Suite A
Saint Clair Shores MI 48080-1775
Phone: (586) 772-1090
Fax: (586) 772-4366
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301052619 | Michigan |
Profile Details
| NPI number | 1134196165 |
|---|---|
| LBN Legal business name | Kroll, David Walter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Apr 7th, 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 | 1134196165 | NPPES |
| Michigan | MEDICAID | 4373585 |
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