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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1265482095 | NPPES |
Michigan | MEDICAID | 4813978 | |
Michigan | MEDICAID | 4991915 |
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