Kurzawa, Mark Robert

Kurzawa, Mark Robert is an individual health care provider with primary practice located at 36367 Harper Ave , Clinton Twp MI 48035-2958. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Kurzawa, Mark Robert can be contacted via phone (586) 791-6868.

Contact Information

Primary practice address
36367 Harper Ave Clinton Twp MI 48035-2958
Phone: (586) 791-6868
Fax: (586) 791-5071
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301048125 Michigan
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 4301048125 Michigan

Profile Details

NPI number 1265482095
LBN Legal business name Kurzawa, Mark Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jan 18th, 2008 - about 17 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 1265482095 NPPES
Michigan MEDICAID 4813978
Michigan MEDICAID 4991915

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