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Organization
STEPHEN KRONBERG MD PC
Active
Organization
STEPHEN KRONBERG MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN KRONBERG MD (PRESIDENT)
(248) 478-1100
Entity
Organization
Contact information
Practice address
20331 FARMINGTON RD, LIVONIA, MI 48152-1411
(248) 478-1100
(248) 478-7054
Mailing address
14237 FENTON, REDFORD, MI 48239-2878
(313) 310-5337
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
SK058204
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301058204
STATE LICENSE
MI
05
—
4535585
—
MI
Enumeration date
07/14/2017
Last updated
03/12/2018
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