Wuckert, Kristen E
Wuckert, Kristen E is an individual health care provider with primary practice located at 11300 E 13 Mile Rd Ste 4A, Warren MI 48093-2500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Wuckert, Kristen E can be contacted via phone (586) 574-1313.Contact Information
Primary practice address
11300 E 13 Mile Rd Ste 4A
Warren MI 48093-2500
Phone: (586) 574-1313
Fax: (586) 574-0842
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 4301070122 | Michigan |
Profile Details
| NPI number | 1285615575 |
|---|---|
| LBN Legal business name | Wuckert, Kristen E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2005 |
| Last updated | Oct 4th, 2012 - about 14 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 | 1285615575 | NPPES |
| Michigan | MEDICAID | 4337874 |
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