Krupic, Michael W

Krupic, Michael W is an individual health care provider with primary practice located at 22972 Lahser Rd , Southfield MI 48033-4408. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Krupic, Michael W can be contacted via phone (248) 353-0096.

Contact Information

Primary practice address
22972 Lahser Rd Southfield MI 48033-4408
Phone: (248) 353-0096
Fax: (248) 353-4235
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 5901002111 Michigan

Profile Details

NPI number 1093754244
LBN Legal business name Krupic, Michael W
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Dec 28th, 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 1093754244 NPPES
Michigan MEDICAID 4653963

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